Individual
SUSAN ZACHARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7850 ANSELMO LN, BATON ROUGE, LA 70810-1101
(800) 935-8387
Mailing address
10720 LINKWOOD CT, APT 1425, BATON ROUGE, LA 70810-2955
(630) 347-5130
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.018634
IL
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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