Individual
LAURA SQUIRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4038 DESOTO ST, MANDEVILLE, LA 70471-1804
(985) 259-7869
Mailing address
4038 DESOTO ST, MANDEVILLE, LA 70471-1804
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8297
LA
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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