Individual
MRS. MARTHA TRIMBLE PARHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6410 MASONIC DR, ALEXANDRIA, LA 71301-2319
(318) 442-3163
(318) 442-9785
Mailing address
300 BELLE TRACE RD, LECOMPTE, LA 71346-9553
(318) 416-1430
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4355
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1816884
—
LA
Enumeration date
04/13/2007
Last updated
04/09/2014
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