Individual
MARCELLA MANUEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
14514 LA HIGHWAY 92, MAURICE, LA 70555-3044
(337) 893-6767
Mailing address
PO BOX 1254, BROUSSARD, LA 70518-1254
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1256
LA
Other
Enumeration date
02/10/2006
Last updated
07/08/2007
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