Individual
MARCIA SHANTELLE BOOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-BACS
Contact information
Practice address
6366 DUTTON AVE, BATON ROUGE, LA 70805-1449
(225) 931-5428
Mailing address
6366 DUTTON AVE, BATON ROUGE, LA 70805-1449
(225) 931-5428
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10968
LA
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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