Individual
MISS CASSANDRA BEAULIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BEH SHP SPEC
Contact information
Practice address
3801 CANAL ST, 210, NEW ORLEANS, LA 70119-6082
(504) 483-1985
(504) 483-1984
Mailing address
3801 CANAL ST, 210, NEW ORLEANS, LA 70119-6082
(504) 483-1985
(504) 483-1984
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6308
PROVIDER NUMBER
LA
Enumeration date
02/28/2012
Last updated
02/28/2012
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