Provider Information for 1811059835
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MARILYN L PRIEBE LCSW
Sex: Female
NPI: 1811059835
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1811059835 | ||||||||
| Enumeration Date | 2006-12-15 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4615 GOVERNMENT ST BLDG 2 BATON ROUGE, LA 70806-5820 United States Phone: 225-922-0445 | Fax:225-922-0771 | ||||||||
| Primary Practice Address | 4615 GOVERNMENT ST BLDG 2 BATON ROUGE, LA 70806-5820 United States Phone: 225-922-0445 | Fax:225-922-0771 | ||||||||
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