Individual
MR. RANDALL GEORGE PARENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
600 N HIGHWAY 190, SUITE 207, COVINGTON, LA 70433-5003
(985) 231-8215
(985) 340-8066
Mailing address
1200 LAFITTE DR, UNIT 19, HAMMOND, LA 70401-1654
(985) 231-8215
(985) 340-8066
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2765
LA
Other
Enumeration date
09/11/2011
Last updated
09/11/2011
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