Individual
BROOKE HAGSTETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
660 AUTUMN WIND LN, MANDEVILLE, LA 70471-7681
(985) 878-8030
Mailing address
660 AUTUMN WIND LN, MANDEVILLE, LA 70471-7681
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11760
LA
171M00000X
Case Manager/Care Coordinator
11760
LA
Other
Enumeration date
08/09/2012
Last updated
05/09/2023
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