Individual
AUDRA LAYNE COOK ROLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7982 BRANDON DR, BATON ROUGE, LA 70809-1246
(318) 282-5254
Mailing address
1958 WISTERIA ST, BATON ROUGE, LA 70806-5342
(318) 282-5254
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12927
LA
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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