Individual
CECI WAGUESPACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7914 WRENWOOD BLVD STE C, BATON ROUGE, LA 70809-1773
(225) 571-9188
Mailing address
246 GUAVA DR, BATON ROUGE, LA 70808-5030
(225) 571-9188
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4336
LA
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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