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Deshanon Marie Cobb- Russell, B.S.

Case Manager/Care Coordinator in Harvey, LA. Individual provider (NPI-1).

NPI number1669936720
StatusActive
Last updated in NPPESJan 23, 2019

Details

NPI
1669936720
Entity type
Individual (NPI-1)
Name
Ms. Deshanon Marie Cobb- Russell
Credential
B.S.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 23, 2019
Last updated
Jan 23, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes
101YM0800X Counselor, Mental Health––

Practice location

2439 Manhattan Blvd Ste 403
Harvey, LA 70058-5328

Phone 504-368-5905

Mailing address

2439 Manhattan Blvd Ste 403
Harvey, LA 70058-5328

Phone 504-368-5905

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