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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MARK JUDE STANFORD, LCSW

Active

MR. MARK JUDE STANFORD, LCSW is a Clinical Social Worker healthcare provider located in LAFAYETTE, Louisiana. NPI 1073879649 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · LAFAYETTE, LA

Registration Details

NPI Number
1073879649
Provider Type
Individual
Gender
Male
NPI Issued
Apr 7, 2012 (14.372250080596 yrs)
Last Updated
Apr 7, 2012
License
10658 (LA)

Practice Information

Address
1003 HUGH WALLIS RD S
C-6
LAFAYETTE, LA, 705082528
Browse LA providers · Browse ZIP 70508
Phone
3373441617
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in LAFAYETTE, LA

Name Credential NPI
SANDRA S MATHEWS LCSW 1003818311
MR. CHARLES MICHAEL ST. ROMAIN MSW 1528063302
MR. RONALD WILLIAM BUTCHER LCSW 1184697575
MS. AIMEE D. DOMINIQUE LCSW 1992764799
CHRIS BOLING LCSW 1780647941
STACEY GRACE WILLSON LCSW 1134177678
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.