Individual
KERMINDRA L MABERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
61540 BENNETT RD, AMITE, LA 70422-4356
(985) 474-4958
Mailing address
61540 BENNETT RD, AMITE, LA 70422-4356
(985) 474-4958
(985) 318-7617
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12866
LA
Other
Enumeration date
07/19/2016
Last updated
12/08/2025
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