Individual
MR. CARY M BAHLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1112 E ASCENSION COMPLEX AVENUE, GONZALES, LA 70737-3726
(225) 621-5770
(225) 621-5168
Mailing address
PO BOX 1725, GONZALES, LA 70707-1725
(225) 621-5770
(225) 621-5168
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1878
LA
1041C0700X
Clinical Social Worker
1878B
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558435
—
LA
Enumeration date
07/20/2006
Last updated
06/10/2008
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