| |
701 Papworth Ave Ste 208 Metairie LA 70005-4923 | |
(985) 519-3077 | |
(985) 384-7432 |
Full Name | |
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Speciality | Social Worker - Clinical |
Location | 701 Papworth Ave Ste 208, Metairie, Louisiana |
Authorized Official Name and Position | Leslie Kiyanfar (OWNER/PROVIDER) |
Authorized Official Contact | 9856885386 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1060 Oak Harbor Dr Morgan City LA 70380-8041 Ph: (985) 688-5386 | 701 Papworth Ave Ste 208 Metairie LA 70005-4923 Ph: (985) 519-3077 |
NPI Number | 1558609958 |
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Provider Enumeration Date | 01/21/2013 |
Last Update Date | 03/15/2023 |
Certification Date | 03/15/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558609958 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 7233 (Louisiana) | Primary |
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