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NPI Code Detail

MEDICARE: MAMYE HALL LCSW

MEDICARE:   MAMYE  HALL  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
11041C0700XClinical Social Worker1526LA

General Provider Information

NPI Number : 1871897082
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAMYE HALL LCSW
Provider Business Mailing Address
First Line : 7855 HOWELL PLACE BLVD
Second Line : SUITE 330
City : BATON ROUGE
State : LA
Zip : 70807-5256
Country : US
Telephone Number : 225-774-1120
Fax Number : 225-774-1158
Provider Business Practice Location Address
First Line : 7855 HOWELL PLACE BLVD
Second Line : SUITE 330
City : BATON ROUGE
State : LA
Zip : 70807-5256
Country : US
Telephone Number : 225-774-1120
Fax Number : 225-774-1158
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2011
Last Update Date : 01/03/2011

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Directions to “ MAMYE HALL LCSW” Practice Location

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