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1073096863
TODD MASON RENEGAR
PINEVILLE, LA
NPI
1073096863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 0866174-1)
Enumeration Date
2018-09-08
Last Update Date
2022-09-21
Business Address
Mr. TODD MASON RENEGAR LCSW
2495 SHREVEPORT HWY
PINEVILLE, LA 71360-4044
Phone number: 318-473-0010
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Mailing Address
Mr. TODD MASON RENEGAR LCSW
4024 MAYFLOWER BLVD
ALEXANDRIA, LA 71303-2913
Phone number: 646-258-3479
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