Individual
CHARLES STEVEN MYLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3616 S I 10 SERVICE RD W STE 100, METAIRIE, LA 70001-1874
(504) 838-5257
(504) 838-5284
Mailing address
3300 WEST ESPLANADE AVE, SUITE 213, METAIRIE, LA 70002
(504) 838-5716
(504) 838-5714
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2719
LA
Other
Enumeration date
10/25/2006
Last updated
03/05/2021
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