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4401 N I 10 Service Rd W Suite 104 Metairie LA 70006-6692 | |
(504) 454-8400 | |
(504) 454-8401 |
Full Name | |
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Speciality | Social Worker - Clinical |
Location | 4401 N I 10 Service Rd W, Metairie, Louisiana |
Authorized Official Name and Position | Marlene M. Juron (CLINICAL DIRECTOR) |
Authorized Official Contact | 5044548400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4401 N I 10 Service Rd W Suite 104 Metairie LA 70006-6692 Ph: (504) 454-8400 | 4401 N I 10 Service Rd W Suite 104 Metairie LA 70006-6692 Ph: (504) 454-8400 |
NPI Number | 1881975324 |
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Provider Enumeration Date | 08/29/2011 |
Last Update Date | 08/29/2011 |
Identifier | Type | State | Issuer |
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1881975324 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 11274 (Louisiana) | Primary |
Lynn J. Friedman, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4721 Loveland St, Metairie, LA 70006 Phone: 504-455-6569 | |
Bianchini-etherton Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3939 Houma Blvd, Suite #223, Metairie, LA 70006 Phone: 504-780-1702 Fax: 504-780-1705 | |