Individual
TUNGUA LYNN MAYFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
PO BOX 54, LONGVIEW, TX 75606-0054
(903) 698-7083
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
31965
TX
Other
Enumeration date
06/28/2024
Last updated
11/22/2024
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