Individual
MARK CHUSTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5621 HILLTOP CIR, SAINT FRANCISVILLE, LA 70775-5620
(225) 931-6814
Mailing address
77 MILL ST, WESTFIELD, MA 01085-4598
(504) 920-7374
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2574
LA
Other
Enumeration date
06/23/2009
Last updated
09/16/2020
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