Provider Demographics
NPI:1205965241
Name:DILLON, CLAUDETTE MURREL (GSW)
Entity type:Individual
Prefix:MS
First Name:CLAUDETTE
Middle Name:MURREL
Last Name:DILLON
Suffix:
Gender:F
Credentials:GSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3253 TULANE DR
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-4037
Mailing Address - Country:US
Mailing Address - Phone:504-712-8433
Mailing Address - Fax:
Practice Address - Street 1:611 N RAMPART ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-3505
Practice Address - Country:US
Practice Address - Phone:504-858-2757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7421104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker