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Individual
DR. MAHOGANY LACOUR
Active
Individual
DR. MAHOGANY LACOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DSW, CADC, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904009791
VA
1041C0700X
Clinical Social Worker
30183
MD
1041C0700X
Clinical Social Worker
Primary
CSW005926
GA
Other
Enumeration date
01/05/2017
Last updated
12/01/2025
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