Organization
MARY R STOCK, PHD, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY R STOCK PHD, LCSW (LICENSED CLINICAL SOCIAL WORKER)
(228) 216-0130
Entity
Organization
Contact information
Practice address
3439 MAGAZINE ST, NEW ORLEANS, LA 70115-2446
(504) 891-8808
Mailing address
3439 MAGAZINE ST, NEW ORLEANS, LA 70115-2446
(504) 891-8808
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3058
LA
Other
Enumeration date
04/26/2013
Last updated
04/26/2013
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