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Mary Landgrave, LCSW, C-SSWS

Social Worker, School in Lafayette, LA. Individual provider (NPI-1).

NPI number1407192545
StatusActive
Last updated in NPPESDec 6, 2013

Details

NPI
1407192545
Entity type
Individual (NPI-1)
Name
Mary Landgrave
Credential
LCSW, C-SSWS
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 18, 2012
Last updated
Dec 6, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041S0200X Social Worker, School6768LAYes

Practice location

113 Chaplin Dr
Lafayette, LA 70508-2101

Phone 337-521-7083

Mailing address

113 Chaplin Dr
Lafayette, LA 70508-2101

Phone 337-521-7083

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