| Mark S. Debord, Lcsw, Llc | |
|
212 Cypress St West Monroe LA 71291-3120 | |
| (318) 381-9070 | |
| (318) 322-1477 |
| Full Name | Mark S. Debord, Lcsw, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 212 Cypress St, West Monroe, Louisiana |
| Authorized Official Name and Position | Mark S Debord (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3183819070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark S. Debord, Lcsw, Llc 212 Cypress St West Monroe LA 71291-3120 Ph: (318) 381-9070 | Mark S. Debord, Lcsw, Llc 212 Cypress St West Monroe LA 71291-3120 Ph: (318) 381-9070 |
| NPI Number | 1043619992 |
|---|---|
| Provider Enumeration Date | 08/16/2014 |
| Last Update Date | 08/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043619992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1947 (Louisiana) | Primary |
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