Individual
DE'LYSA PARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
251 REES ST, BREAUX BRIDGE, LA 70517
(337) 442-6823
Mailing address
1137 E SOUTH ST # 110, OPELOUSAS, LA 70570-8011
(470) 528-8019
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/09/2018
Last updated
10/30/2019
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