MEDICARE: MISS LAURA MICHELLE DANNA LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	9709	LA

General Provider Information

NPI Number	:	1578793360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS LAURA MICHELLE DANNA LCSW

Provider Business Mailing Address
First Line	:	110 VETERANS MEMORIAL BLVD
Second Line	:	SUITE 425
City	:	METAIRIE
State	:	LA
Zip	:	70005-3027
Country	:	US
Telephone Number	:	504-838-8283
Fax Number	:	504-838-9799

Provider Business Practice Location Address
First Line	:	4001 GENERAL DEGAULLE DR
Second Line	:	SUITE H
City	:	NEW ORLEANS
State	:	LA
Zip	:	70114-8220
Country	:	US
Telephone Number	:	504-376-2590
Fax Number	:	504-376-2591

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2009
Last Update Date	:	07/15/2009

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