Organization
MICHELE VINCENT, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE R VINCENT LCSW (OWNER)
(337) 257-9333
Entity
Organization
Contact information
Practice address
115 HANSEL ST, NEW IBERIA, LA 70560-5039
(337) 257-9333
Mailing address
204 OAK HILL LN, YOUNGSVILLE, LA 70592-6170
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4274
LA
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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