Organization
C W BELSOM LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES WILLIAM BELSOM LCSW (OWNER)
(318) 240-4075
Entity
Organization
Contact information
Practice address
401 WHITNEY AVE, 605, GRETNA, LA 70056-2558
(318) 240-4075
(504) 309-7845
Mailing address
PO BOX 6744, NEW ORLEANS, LA 70174-6744
(504) 309-7844
(504) 309-7845
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
140
LA
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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