Individual
MS. MARY ALICE HAGEWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-BACS
Contact information
Practice address
170 W WASHINGTON ST, BATON ROUGE, LA 70802-7655
(225) 389-6697
(225) 389-6702
Mailing address
170 W WASHINGTON ST, BATON ROUGE, LA 70802-7655
(225) 389-6697
(225) 389-6702
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2254
LA
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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