Organization
STANLEY P MASINTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STANLEY P MASINTER LCSW (LICENSED CLINICAL SOCIAL WORKER)
(225) 927-0252
Entity
Organization
Contact information
Practice address
7936 WRENWOOD BLVD STE A, BATON ROUGE, LA 70809-7701
(225) 927-0252
Mailing address
775 NELSON DR, BATON ROUGE, LA 70808-5084
(225) 927-0252
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1674
LA
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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