| Mary Dean | |
|
333 S Main St Opelousas LA 70570-6137 | |
| (337) 945-1032 | |
| (337) 205-8531 |
| Full Name | Mary Dean |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 333 S Main St, Opelousas, Louisiana |
| Authorized Official Name and Position | Mary M Dean (THERAPIST) |
| Authorized Official Contact | 4695856732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Dean 333 S Main St Opelousas LA 70570-6137 Ph: (337) 945-1032 | Mary Dean 333 S Main St Opelousas LA 70570-6137 Ph: (337) 945-1032 |
| NPI Number | 1710424932 |
|---|---|
| Provider Enumeration Date | 01/25/2017 |
| Last Update Date | 01/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710424932 | NPI | - | NPPES |
| 600991533 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 12743 (Louisiana) | Primary |
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