Individual
ALISA P GAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4615 GOVERNMENT ST BLDG 2, BATON ROUGE, LA 70806
(225) 922-0445
(225) 922-0771
Mailing address
4615 GOVERNMENT ST BLDG 2, BATON ROUGE, LA 70806-5820
(225) 922-0445
(225) 922-0771
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
9662
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/13/2006
Last updated
07/03/2018
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