MR. Mark Jude Stanford, LCSW

NPI #1073879649 in Lafayette, Louisiana

Provider Information

NPI Number
1073879649
Entity Type
Individual
Name
MR. Mark Jude Stanford, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Apr 7, 2012
Last Updated
Apr 7, 2012

Practice Location

Address
1003 HUGH WALLIS RD S
Address 2
C-6
ZIP Code
70508-2528
Phone
(337) 344-1617

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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