Individual
GLENDA STATEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
53 FOREST DR, MONROE, LA 71203-6635
(318) 805-6378
Mailing address
53 FOREST DR, MONROE, LA 71203-6635
(318) 805-6378
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8189
LA
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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