| Pamela T. Mong | |
|
9456 Jefferson Hwy Suite B Baton Rouge LA 70809-2883 | |
| (225) 293-2255 | |
| (225) 292-1900 |
| Full Name | Pamela T. Mong |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9456 Jefferson Hwy, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Pamela T. Mong (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2252932255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela T. Mong 9456 Jefferson Hwy Suite B Baton Rouge LA 70809-2883 Ph: (225) 293-2255 | Pamela T. Mong 9456 Jefferson Hwy Suite B Baton Rouge LA 70809-2883 Ph: (225) 293-2255 |
| NPI Number | 1194951681 |
|---|---|
| Provider Enumeration Date | 06/10/2009 |
| Last Update Date | 06/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194951681 | NPI | - | NPPES |
| 1619991825 | Other | LA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 972 (Louisiana) | Primary |
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