Individual
NATHAN C MYLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
422 COLONIAL DR, BATON ROUGE, LA 70806-6505
(225) 922-0478
(888) 965-7288
Mailing address
PO BOX 66558, BATON ROUGE, LA 70896-6558
(225) 922-2700
(225) 362-5319
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
18522
LA
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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