Individual
SOMMER MARIE CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
830 BELLE DR, BREAUX BRIDGE, LA 70517-4630
(337) 344-1548
Mailing address
830 BELLE DR, BREAUX BRIDGE, LA 70517-4630
(337) 344-1548
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15946
LA
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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