Individual
MARY MELANCON CANCIENNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1708 CHANTILLY DR STE E, LA PLACE, LA 70068-2446
(985) 233-9852
(985) 790-7016
Mailing address
1708 CHANTILLY DR STE E, LA PLACE, LA 70068-2446
(985) 233-9852
(985) 790-7016
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9404
LA
Other
Enumeration date
09/30/2010
Last updated
07/21/2022
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