Individual
ERIN MACINNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, MSW, LCSW
Contact information
Practice address
3221 RYAN ST STE D, LAKE CHARLES, LA 70601-8780
(337) 439-3344
Mailing address
3221 RYAN ST, STE D, LAKE CHARLES, LA 70601-8780
(504) 319-6569
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11377
LA
Other
Enumeration date
09/24/2015
Last updated
12/08/2016
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