Individual
MRS. MARJORIE BLOCK MATHERNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
604 N ACADIA RD, SUITE 201, THIBODAUX, LA 70301-4847
(985) 493-9304
(985) 493-9305
Mailing address
604 NORTH ACADIA ROAD,, SUITE 201, THIBODAUX, LA 70301-4847
(985) 493-9304
(985) 493-9305
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4920
LA
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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