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Individual

MR. GILBERT ANSON LYON III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
4105 KIRKMAN ST, LAKE CHARLES, LA 70607-4603
(337) 475-8022
(337) 475-8054
Mailing address
4105 KIRKMAN ST, LAKE CHARLES, LA 70607-4603
(337) 475-8022
(337) 475-8054

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10504
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10504
LOUISIANA STATE BOARD OF SOCIAL WORK EXAMINERS
LA
Enumeration date
10/08/2009
Last updated
09/21/2012
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