Individual
AMANDA HIDALGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-BACS
Contact information
Practice address
4502 HIGHWAY 951, JACKSON, LA 70748-5103
(225) 937-7426
Mailing address
1245 MELANIE ST, BATON ROUGE, LA 70815-4745
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8060
LA
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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