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Organization
MARK S. DEBORD, LCSW, LLC
Active
Organization
MARK S. DEBORD, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK S DEBORD LCSW (LICENSED CLINICAL SOCIAL WORKER)
(318) 381-9070
Entity
Organization
Contact information
Practice address
212 CYPRESS ST, WEST MONROE, LA 71291-3120
(318) 381-9070
(318) 322-1477
Mailing address
212 CYPRESS ST, WEST MONROE, LA 71291-3120
(318) 381-9070
(318) 322-1477
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1947
LA
Other
Enumeration date
08/16/2014
Last updated
08/16/2014
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