Individual
DAVID GLEN ROMERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
201 CARROLL ST STE 202, MANDEVILLE, LA 70448-5707
(985) 778-8112
Mailing address
107 ORCHARD ROW, ABITA SPRINGS, LA 70420-4025
(985) 778-8112
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3879B
LA
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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