Individual
MARY PESSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1976 RICHLAND AVE, BATON ROUGE, LA 70808-1656
(646) 509-8918
Mailing address
1976 RICHLAND AVE, BATON ROUGE, LA 70808-1656
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11555
LA
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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