Individual
ELIZABETH MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1951 FLORIDA AVE SW, DENHAM SPRINGS, LA 70726-4947
(225) 665-0473
(225) 665-0283
Mailing address
1951 FLORIDA AVE SW, DENHAM SPRINGS, LA 70726-4947
(225) 665-0473
(225) 665-0283
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14816
LA
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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