Individual
MS. NADRA TYLISE DEMAGNUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1634 ANNETTE ST, NEW ORLEANS, LA 70116-1323
(504) 600-8941
Mailing address
1634 ANNETTE ST, NEW ORLEANS, LA 70116-1323
(504) 600-8941
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12192
LA
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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