Individual
MS. GRACE FRIEDEN O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
350 GATEWAY DR, SLIDELL, LA 70461-5589
(985) 707-1410
(985) 707-1415
Mailing address
350 GATEWAY DR, SLIDELL, LA 70461-5589
(985) 707-1410
(985) 707-1415
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/07/2018
Last updated
05/06/2019
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