Individual
MILDRED P WORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11990 JACKSON STREET, CLINTON, LA 70722
(225) 683-5292
Mailing address
PO BOX 7933, CLINTON, LA 70722-1933
(225) 683-5292
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LA343LCSW
LA
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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