Individual
MYRTIS MAGEE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1700 LAKE ST, LAKE PROVIDENCE, LA 71254-5208
(318) 553-0551
(318) 559-0538
Mailing address
1700 LAKE ST, LAKE PROVIDENCE, LA 71254-5208
(318) 559-0551
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
5552
LA
104100000X
Social Worker
Primary
5552
LA
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/12/2015
Last updated
10/22/2023
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