Geraldine Mack LCSW

NPI 1346447315 - Social Worker - 1041C0700X

NPI Details
NPI 1346447315
Gender Female
Enumeration Date 07/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1625 DAVID RAINES RD
SHREVEPORT LA, 71107-5899, US
Phone (318) 425-2252
Fax (318) 227-3357
Business Location
1625 DAVID RAINES RD
SHREVEPORT LA, 71107-5899, US
Phone (318) 425-2252
Fax (318) 227-3357
Toxanomy
Taxonomy Code 1041C0700X
License State Louisiana
License Number 3681
Remove 1346447315 NPI Number
 

According to our database, Geraldine Mack LCSW NPI is 1346447315, taxonomy code is 1041C0700X and license number is 3681, license state is located at Louisiana. Geraldine Mack LCSW physically located at 1625 David Raines Rd, Shreveport LA, 71107-5899. NPI Number Geraldine Mack LCSW has the Individual type.

Sponsored links

1346447315 NPI number is provided on an as is basis without warranty of any kind. 1346447315 is maintained by the National Plan & Provider Enumeration System. The contents of Geraldine Mack LCSW are for informational purposes only.