Individual
LONA J CHAMPAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1019 COUNTRY LN, SAINT MARTINVILLE, LA 70582-6282
(337) 412-9612
Mailing address
1019 COUNTRY LN, SAINT MARTINVILLE, LA 70582-6282
(337) 412-9612
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C013894
NC
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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