Individual
DENA MASON THERIOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-BACS
Contact information
Practice address
620 OAK HARBOR BLVD STE 100, SLIDELL, LA 70458-8862
(504) 259-6724
Mailing address
4620 PONTCHARTRAIN DR APT N, SLIDELL, LA 70458-5546
(504) 259-6724
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3282
LA
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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