Individual
TINA MARIA MUSACCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
281 WEST 4TH ST., INDEPENDENCE, LA 70443-2386
(985) 878-0066
(985) 878-0626
Mailing address
281 WEST 4TH ST., INDEPENDENCE, LA 70443-2386
(985) 878-0066
(985) 878-0626
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9523
LA
1041C0700X
Clinical Social Worker
LSW4474
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3927714
—
TN
Enumeration date
07/19/2005
Last updated
08/02/2007
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