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Individual

ALICIA DEANNA REINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3100 RIDGELAKE DR STE 203, METAIRIE, LA 70002-4938
(504) 202-3205
Mailing address
3100 RIDGELAKE DR STE 203, METAIRIE, LA 70002-4938
(504) 638-6073

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13442
LA

Other

Enumeration date
08/21/2016
Last updated
10/13/2020
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