Provider Information for 1083638852
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Ms. ANNIE G. FORSYTH LMFT, LPC
Sex: Female
NPI: 1083638852
Last Updated: 2021-04-08
Certification Date: 2021-04-08
Certification Date: 2021-04-08
Details
| Name | Value | ||||||||||||||||||||
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| NPI | 1083638852 | ||||||||||||||||||||
| Enumeration Date | 2006-07-26 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | 5341 CARLISLE CT NEW ORLEANS, LA 70131-7242 United States Phone: 504-442-1594 | Fax: | ||||||||||||||||||||
| Primary Practice Address | 300 CODIFER BLVD STE C METAIRIE, LA 70005-3782 United States Phone: 504-313-8601 | Fax: | ||||||||||||||||||||
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