Individual
MRS. RAVEN STRANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
900 WILKINSON ST, MANDEVILLE, LA 70448-3533
(985) 624-4450
Mailing address
900 WILKINSON ST, MANDEVILLE, LA 70448-3533
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10441
LA
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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