Individual
MARYANNA CAMILLE SPERDUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW , LISW-S
Contact information
Practice address
1054 SW RAILROAD AVE, PONCHATOULA, LA 70454-3557
(985) 401-9711
Mailing address
1054 SW RAILROAD AVE, PONCHATOULA, LA 70454-3557
(985) 401-9711
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I.2304979-SUPV
OH
1041C0700X
Clinical Social Worker
19580
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19580
LOUISIANA BOARD OF SOCIAL WORKERS
LA
01
—
I.2304979-SUPV
LICENSE
OH
Enumeration date
07/06/2020
Last updated
08/12/2026
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