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1144546359
LETICIA PROVOST
NEW ORLEANS, LA
NPI
1144546359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 6027)
Enumeration Date
2010-04-13
Last Update Date
2010-04-13
Business Address
Ms. LETICIA PROVOST L.C.S.W.
4440 GENERAL MEYER AVE
NEW ORLEANS, LA 70131-3529
Phone number: 504-361-6500
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Mailing Address
Ms. LETICIA PROVOST L.C.S.W.
4442 GENERAL MEYER AVENUE SUITE 201
NEW ORLEANS, LA 70131
Phone number:
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