Landgrave, Mary

Landgrave, Mary is an sole proprietor health care provider with primary practice located at 113 Chaplin Dr , Lafayette LA 70508-2101. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Landgrave, Mary can be contacted via phone (337) 521-7083.

Contact Information

Primary practice address
113 Chaplin Dr Lafayette LA 70508-2101
Phone: (337) 521-7083
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X 6768 Louisiana

Profile Details

NPI number 1407192545
LBN Legal business name Landgrave, Mary
Credentials LCSW, C-SSWS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2012
Last updated Dec 6th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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