Individual
ERIC KINCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 N CAUSEWAY BLVD, MANDEVILLE, LA 70448-4637
(985) 674-7694
Mailing address
350 N CAUSEWAY BLVD, MANDEVILLE, LA 70448-4637
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10545
LA
Other
Enumeration date
12/26/2013
Last updated
12/26/2013
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