Provider Information for 1053952135
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Miss ANNA ALICIA MERCANTE MSW, LCSW
Sex: Female
NPI: 1053952135
Last Updated: 2019-09-30
Certification Date:
Certification Date:
Details
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| NPI | 1053952135 | ||||||||
| Enumeration Date | 2019-09-30 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 114 MARINA BLVD MANDEVILLE, LA 70471-1514 United States Phone: 985-264-2852 | Fax: | ||||||||
| Primary Practice Address | 600 MARINERS PLAZA DR STE 601C MANDEVILLE, LA 70448-6822 United States Phone: 985-264-2852 | Fax: | ||||||||
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