Individual
STANLEY MONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW,BCD
Contact information
Practice address
4615 GOVERNMENT ST BLDG 2, BATON ROUGE, LA 70806-5820
(225) 925-1768
(225) 922-0771
Mailing address
4615 GOVERNMENT ST BLDG 2, BATON ROUGE, LA 70806-5820
(225) 925-1768
(225) 922-0771
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1125
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1915629
—
LA
Enumeration date
12/11/2006
Last updated
07/08/2007
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