Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 14909 | LA |
NPI | 1003385030 |
---|---|
Provider Name | Caroline Caronna |
First Address | New Orleans, LA 70119-3598 |
Second Address | New Orleans, LA 70119-3598 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2018 |
Last Update Date | 20/11/2018 |