Individual
LUIS O CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5760 MONTICELLO DRIVE, ST GABRIEL, LA 70776
(225) 642-9676
(225) 642-9696
Mailing address
11054 E VIEUX DR, BATON ROUGE, LA 70815-5285
(225) 231-8030
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3860
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1117226
—
LA
Enumeration date
12/27/2006
Last updated
06/02/2008
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