Individual
MR. GARY DAVID CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
GSW
Contact information
Practice address
15785 MEDICAL ARTS DR, HAMMOND, LA 70403-1447
(985) 543-4080
(985) 543-4135
Mailing address
15785 MEDICAL ARTS DR, HAMMOND, LA 70403-1447
(985) 543-4080
(985) 543-4135
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8248
LA
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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