Individual
MS. GINA MIX BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1405 NATCHEZ LOOP, COVINGTON, LA 70433-6035
(985) 789-2887
(985) 892-6225
Mailing address
1405 NATCHEZ LOOP, COVINGTON, LA 70433-6035
(985) 789-2887
(985) 892-6225
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3457
LA
Other
Enumeration date
07/23/2006
Last updated
07/08/2007
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