Individual
AMANDA FALCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
153 N 17TH ST, BATON ROUGE, LA 70802
(225) 388-5855
Mailing address
153 N 17TH ST, BATON ROUGE, LA 70802-3800
(225) 388-5855
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
12774
LA
1041C0700X
Clinical Social Worker
Primary
12774
LA
Other
Enumeration date
02/13/2015
Last updated
09/05/2018
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