| Stacy Marie Diliberto | |
|
3196 Terrace Ave. Slidell LA 70458 | |
| (985) 788-7822 | |
| (504) 309-7845 |
| Full Name | Stacy Marie Diliberto |
|---|---|
| Speciality | Social Worker |
| Location | 3196 Terrace Ave., Slidell, Louisiana |
| Authorized Official Name and Position | Stacy Marie Diliberto (LCSW/OWNER) |
| Authorized Official Contact | 5049857822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Marie Diliberto Po Box 6744 New Orleans LA 70174-6744 Ph: (504) 309-7844 | Stacy Marie Diliberto 3196 Terrace Ave. Slidell LA 70458 Ph: (985) 788-7822 |
| NPI Number | 1659747798 |
|---|---|
| Provider Enumeration Date | 08/12/2015 |
| Last Update Date | 08/10/2022 |
| Certification Date | 08/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659747798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | 9492 (Louisiana) | Secondary |
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