Individual
MAUREEN FREDERICK DOMBOURIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1581 CAROL SUE AVE, SUITE 212, GRETNA, LA 70056-5100
(504) 443-9779
Mailing address
3316 HOLIDAY CT, KENNER, LA 70065-2954
(504) 443-9779
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3936
LA
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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