LETICIA PROVOST

NEW ORLEANS, LA
NPI1144546359
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: LA  6027)
Enumeration Date2010-04-13
Last Update Date2010-04-13
Business Address
Ms. LETICIA PROVOST L.C.S.W.
4440 GENERAL MEYER AVE
NEW ORLEANS, LA 70131-3529
Phone number: 504-361-6500
Mailing Address
Ms. LETICIA PROVOST L.C.S.W.
4442 GENERAL MEYER AVENUE SUITE 201
NEW ORLEANS, LA 70131
Phone number: