Individual
MRS. TRACY NICOLE REGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
221 N MONROE ST, MARKSVILLE, LA 71351-2311
(318) 240-7293
Mailing address
2031 HIGHWAY 1192, MARKSVILLE, LA 71351-3801
(318) 359-0041
(318) 240-7293
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5567
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1385905
—
LA
Enumeration date
01/23/2006
Last updated
08/03/2016
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