Individual
MR. PATRICK ANTHONY REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4781 S GRAND ST, MONROE, LA 71202-6403
(318) 362-3412
(318) 362-5428
Mailing address
4781 S GRAND ST, MONROE, LA 71202-6403
(318) 362-3412
(318) 362-5428
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4365
LA
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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