| NPI | 1194951681 |
|---|---|
| Doing Business As | PAMELA T. MONG |
| Entity Type | Organization |
| Authorized Contact | PAMELA T. MONG Clinical Social Worker 225-293-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 972) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2009-06-10 |