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Individual

MR. GARY PADILLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW,LAC

Contact information

Practice address
4150 EARHART BLVD, 4150 EARHART BLVD, NEW ORLEANS, LA 70125-1955
(504) 522-4475
(504) 821-7296
Mailing address
850 LE BEAU ST, ARABI, LA 70032
(504) 570-0414

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7569
LA
324500000X
Substance Abuse Rehabilitation Facility
1569
LA

Other

Enumeration date
05/12/2017
Last updated
05/12/2017
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