GERALDINE MACK

SHREVEPORT, LA
NPI1346447315
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: LA  3681)
Enumeration Date2007-07-02
Last Update Date2007-07-08
Business Address
-- GERALDINE MACK lcsw
1625 DAVID RAINES RD
SHREVEPORT, LA 71107-5899
Phone number: 318-425-2252
Mailing Address
-- GERALDINE MACK lcsw
1625 DAVID RAINES RD
SHREVEPORT, LA 71107-5899
Phone number: 318-425-2252
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