Individual
KATHLEEN FRANCES FARRELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1522 CARMEL DR, LAFAYETTE, LA 70501-5302
(337) 322-7255
Mailing address
1522 CARMEL DR, LAFAYETTE, LA 70501-5302
(337) 322-7255
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3937
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3937
LCSW
LA
Enumeration date
06/30/2009
Last updated
06/30/2009
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