Kellie M Dejan
Social Worker, Clinical in Slidell, LA. Individual provider (NPI-1).
NPI number1558111237
StatusActive
Last updated in NPPESMar 25, 2024
Details
- NPI
- 1558111237
- Entity type
- Individual (NPI-1)
- Name
- Kellie M Dejan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 25, 2024
- Certification date
- Mar 25, 2024
- Last updated
- Mar 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 5911 | LA | Yes |
Practice location
115 Fay WaySlidell, LA 70460-3213
Phone 504-812-5999
Mailing address
115 Fay WaySlidell, LA 70460-3213
Phone 504-812-5999
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