Individual
MRS. RUTH C CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1310 N HEARNE, AVE, SHREVEPORT, LA 71107-7904
(318) 676-5111
(318) 676-5944
Mailing address
1310 N HEARNE, AVE, SHREVEPORT, LA 71107-7904
(318) 676-5111
(318) 676-5944
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14911
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3240963
—
LA
Enumeration date
06/04/2020
Last updated
04/26/2024
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