MALLORI ELIZABETH DIEZ

BATON ROUGE, LA
NPI1639760390
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: LA  11847)
Enumeration Date2021-01-26
Last Update Date2021-01-26
Business Address
MALLORI ELIZABETH DIEZ LCSW
9915 E GRONER AVE
BATON ROUGE, LA 70809-3817
Phone number: 225-939-1857
Mailing Address
MALLORI ELIZABETH DIEZ LCSW
9915 E GRONER AVE
BATON ROUGE, LA 70809-3817
Phone number: 225-939-1857