Individual
RICHARD WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2601 NORTH 7TH, SUITE 232, WEST MONROE, LA 71291
(318) 381-0067
Mailing address
2612 N 10TH ST, WEST MONROE, LA 71291-5155
(318) 381-0067
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1636
LA
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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