Individual
KELLY MATHERNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1530 W CAUSEWAY APPROACH, MANDEVILLE, LA 70471-3046
(985) 626-7118
Mailing address
1530 W CAUSEWAY APPROACH, MANDEVILLE, LA 70471-3046
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
Primary
4643
LA
Other
Enumeration date
02/02/2022
Last updated
05/04/2022
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