Individual
MS. KRISTI L MASSENGALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 W MORRIS AVE, HAMMOND, LA 70403-4120
(985) 345-1958
Mailing address
300 W MORRIS AVE, HAMMOND, LA 70403-4120
(985) 345-1958
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6351
LA
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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