Individual
AVANDA CRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 N TONTI ST, NEW ORLEANS, LA 70119-3549
(504) 821-9211
Mailing address
3821 BURNTWOOD DR, HARVEY, LA 70058-1612
(504) 777-1271
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
12225
LA
1041C0700X
Clinical Social Worker
Primary
12225
LA
Other
Enumeration date
03/29/2016
Last updated
12/18/2019
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