Individual
SUSAN G HERROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
29437 HIGHWAY 63 STE.14, CLINTON, LA 70722
(225) 683-5292
(225) 683-1310
Mailing address
6161 PERKINS RD STE 2C, BATON ROUGE, LA 70808-4119
(225) 769-2770
(225) 769-2700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2902
LA
1041C0700X
Clinical Social Worker
Primary
2902
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2171569
—
LA
Enumeration date
01/09/2007
Last updated
03/25/2019
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