Individual
MR. ROLAND DOUGLAS POOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
900 WILKINSON ST, LURLINE SMITH MENTAL HEALTH CLINIC, MANDEVILLE, LA 70448-3533
(985) 624-4450
Mailing address
900 WILKINSON ST, LURLINE SMITH MENTAL HEALTH CLINIC, MANDEVILLE, LA 70448-3533
(985) 624-4450
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12555
LA
1041C0700X
Clinical Social Worker
I-08080
NM
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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