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1164052569
STEPHEN WINDSOR MOCK
COVINGTON, LA
NPI
1164052569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: LA 15098)
Enumeration Date
2020-01-24
Last Update Date
2020-02-04
Business Address
STEPHEN WINDSOR MOCK CSW
60 LOUIS PRIMA DR
COVINGTON, LA 70433-5903
Phone number: 318-525-5063
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Mailing Address
STEPHEN WINDSOR MOCK CSW
60 LOUIS PRIMA DR STE A
COVINGTON, LA 70433-5903
Phone number:
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