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NPI Code Detail

MEDICARE: MARILYN W. GENSLER LCSW

MEDICARE: MARILYN W. GENSLER LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor3481LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13481OTHERLASTATE SOCIAL WK. LICENSE

General Provider Information

NPI Number : 1639183403
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARILYN W. GENSLER LCSW
Provider Business Mailing Address
First Line : 4727 REVERE AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-3168
Country : US
Telephone Number : 225-924-0123
Fax Number : 225-924-5455
Provider Business Practice Location Address
First Line : 4727 REVERE AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-3168
Country : US
Telephone Number : 225-924-0123
Fax Number : 225-924-5455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2006
Last Update Date : 07/08/2007

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Directions to “ MARILYN W. GENSLER LCSW” Practice Location

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