Individual
MRS. MONIQUE LIPPS THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
20053 JONES LN, PONCHATOULA, LA 70454-4627
(985) 386-4673
Mailing address
20053 JONES LN, PONCHATOULA, LA 70454-4627
(985) 386-4673
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2879
LA
Other
Enumeration date
01/01/2007
Last updated
07/08/2007
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