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Stephen Windsor Mock, CSW

Case Manager/Care Coordinator in Covington, LA. Individual provider (NPI-1).

NPI number1164052569
StatusActive
Last updated in NPPESFeb 4, 2020

Details

NPI
1164052569
Entity type
Individual (NPI-1)
Name
Stephen Windsor Mock
Credential
CSW
Sex
Male
Sole proprietor
No
Enumeration date
Jan 24, 2020
Certification date
Feb 4, 2020
Last updated
Feb 4, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator15098LAYes

Practice location

60 Louis Prima Dr
Covington, LA 70433-5903

Phone 318-525-5063

Mailing address

60 Louis Prima Dr Ste A
Covington, LA 70433-5903

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