| Shelly Blanchard, L.l.c. | |
|
1020 Bay Ridge Dr Slidell LA 70461-3118 | |
| (504) 813-0226 | |
| Not Available |
| Full Name | Shelly Blanchard, L.l.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1020 Bay Ridge Dr, Slidell, Louisiana |
| Authorized Official Name and Position | Shelly Blanchard (OWNER/ MEMBER) |
| Authorized Official Contact | 5048130226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelly Blanchard, L.l.c. 1020 Bay Ridge Dr Slidell LA 70461-3118 Ph: () - | Shelly Blanchard, L.l.c. 1020 Bay Ridge Dr Slidell LA 70461-3118 Ph: (504) 813-0226 |
| NPI Number | 1205159795 |
|---|---|
| Provider Enumeration Date | 03/11/2010 |
| Last Update Date | 03/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205159795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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