TARA LYNN IVANKOVICH

SLIDELL, LA
NPI1750800413
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
Additional Taxonomies1041C0700X Social Worker, Clinical
Enumeration Date2017-09-14
Last Update Date2017-09-14
Business Address
TARA LYNN IVANKOVICH LMSW
115 CHRISTIAN LN
SLIDELL, LA 70458-1350
Phone number: 985-690-6622
Mailing Address
TARA LYNN IVANKOVICH LMSW
4055 LE MANS DR
MARRERO, LA 70072-6245
Phone number:
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