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Organization

PAMELA T. MONG CLINICAL SOCIAL WORK ASSOCIATES LLC

Active
Other names
PAMELA T. MONG
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PAMELA T. MONG LCSW (CLINICAL SOCIAL WORKER)
(225) 293-2255
Entity
Organization

Contact information

Practice address
9456 JEFFERSON HWY, SUITE B, BATON ROUGE, LA 70809-2883
(225) 293-2255
(225) 292-1900
Mailing address
9456 JEFFERSON HWY, SUITE B, BATON ROUGE, LA 70809-2883
(225) 293-2255
(225) 292-1900

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
972
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1619991825
NPI
LA
Enumeration date
06/10/2009
Last updated
06/10/2009
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