Provider Information for 1306151006
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WENDY QUIARA DURANT LPC
Sex: Female
NPI: 1306151006
Last Updated: 2010-08-18
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1306151006 | ||||||||
| Enumeration Date | 2010-08-18 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4041 WILLIAMS BLVD SUITE A9-282 KENNER, LA 70065-3179 United States Phone: 504-305-2250 | Fax:504-305-2250 | ||||||||
| Primary Practice Address | 1753 42ND ST A KENNER, LA 70065-2183 United States Phone: 504-305-2250 | Fax:504-305-2250 | ||||||||
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