Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 4558 | LA |
NPI | 1003126301 |
---|---|
Provider Name | Dr. Rebecca Linnea Kendig |
First Address | New Orleans, LA 70118-1318 |
Second Address | New Orleans, LA 70118-1318 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2010 |
Last Update Date | 20/10/2010 |