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Individual

MONICA CHAMBERLAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, DAPA

Contact information

Practice address
2495 SHREVEPORT HWY, SUITE 122, PINEVILLE, LA 71360-4044
(318) 466-2304
Mailing address
2495 SHREVEPORT HWY, SUITE 122, PINEVILLE, LA 71360-4044
(318) 466-2304

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3942
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3639
AMERICAN PSYCHOTHERAPY ASSOCIATION, CERTIFIED DIPLOMATE
LA
01
3942
LOUISIANA STATE BOARD OF SOCIAL WORK EXAMINERS
LA
Enumeration date
05/19/2009
Last updated
05/21/2009
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