Individual
CASSIDY MANSUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
622 RIVERSIDE DR, MONROE, LA 71201-6211
(318) 398-0945
Mailing address
801 MARIAS SALINE RD, CROSSETT, AR 71635-8703
(870) 500-0449
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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