Individual
SAMANTHA LAROCQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2829 4TH AVE STE 150, LAKE CHARLES, LA 70601-7897
(337) 480-7800
(337) 474-4552
Mailing address
PO BOX 123977 DEPT 3977, DALLAS, TX 75312-0001
(337) 494-2772
(337) 494-2928
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13192
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2509551
—
LA
Enumeration date
04/14/2015
Last updated
02/04/2022
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