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NPI Code Detail

MEDICARE: TARA N MESSENGER LCSW

MEDICARE:   TARA N MESSENGER  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 Worker2549LA

General Provider Information

NPI Number : 1588913644
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARA N MESSENGER LCSW
Provider Business Mailing Address
First Line : PO BOX 395
Second Line :
City : CLINTON
State : LA
Zip : 70722-0395
Country : US
Telephone Number : 225-683-5292
Fax Number : 225-683-3411
Provider Business Practice Location Address
First Line : 3170 CHURCH ST
Second Line :
City : SLAUGHTER
State : LA
Zip : 70777-3529
Country : US
Telephone Number : 225-683-5292
Fax Number : 225-683-3411
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2012
Last Update Date : 09/05/2012

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Directions to “ TARA N MESSENGER LCSW” Practice Location

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