Individual
MRS. TERESA BOVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2238 1ST ST, SLIDELL, LA 70458-3606
(985) 690-6622
Mailing address
2238 1ST ST, SLIDELL, LA 70458-3606
(985) 690-6622
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
163WA2000X
LA
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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