Individual
CHARLES B MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1836 AVONDALE DR, BUILDING 2, BATON ROUGE, LA 70808-1912
(225) 926-7420
Mailing address
1836 AVONDALE DR, BATON ROUGE, LA 70808-1912
(225) 926-7420
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7278
LA
Other
Enumeration date
07/11/2007
Last updated
01/24/2015
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