Amanda E Blair, LCSW
Social Worker, Clinical in Covington, LA. Individual provider (NPI-1).
NPI number1093230096
StatusActive
Last updated in NPPESAug 10, 2017
Details
- NPI
- 1093230096
- Entity type
- Individual (NPI-1)
- Name
- Amanda E Blair
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 10, 2017
- Last updated
- Aug 10, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 11589 | LA | Yes |
Practice location
112 Innwood DrCovington, LA 70433-9134
Phone 225-436-2011
Mailing address
916 Agnes StMandeville, LA 70448-6502
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