Individual
TIKELA NAWANA MANSFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHP/CAS MANAGER
Contact information
Practice address
209 W JEFFERSON AVE, BASTROP, LA 71220-4543
(318) 239-3890
(318) 239-3891
Mailing address
158 PARKER ST, BASTROP, LA 71220-3622
(318) 614-0126
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15899
LA
171M00000X
Case Manager/Care Coordinator
15899
LA
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
02/05/2019
Last updated
02/01/2023
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