DALE ELLEN STANDIFER

COVINGTON, LA
NPI1730427105
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: LA  3434)
Enumeration Date2013-01-20
Last Update Date2013-01-20
Business Address
DALE ELLEN STANDIFER LCSW
20050 MEDUS ST
COVINGTON, LA 70435-0162
Phone number: 504-228-9265
Mailing Address
DALE ELLEN STANDIFER LCSW
20050 MEDUS ST
COVINGTON, LA 70435-0162
Phone number: 504-228-9265
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