Individual
DAMON COUSIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
820 ASBURY DR, MANDEVILLE, LA 70471-1842
(985) 674-5155
(985) 674-5156
Mailing address
820 ASBURY DR, MANDEVILLE, LA 70471-1842
(985) 674-5155
(985) 674-5156
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
17226
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/25/2023
Last updated
06/21/2023
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