Individual
GEORENA DEARBORNE BYNOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 794-9600
Mailing address
PO BOX 13521, ALEXANDRIA, LA 71315-3521
(318) 794-9600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
11301
LA
1041C0700X
Clinical Social Worker
Primary
99856
CA
Other
Enumeration date
10/09/2012
Last updated
11/17/2025
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