Individual
MS. ROBERTA CARRUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW,BACS
Contact information
Practice address
1013 WHITNEY AVE, GRETNA, LA 70056-8050
(504) 368-5518
Mailing address
1013 WHITNEY AVE, GRETNA, LA 70056-8050
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 2090
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1620301
—
LA
Enumeration date
07/03/2007
Last updated
07/08/2007
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