Individual
TANGELA SIMONE COLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5334 RIVER MEADOW DR, BATON ROUGE, LA 70820-4321
(225) 413-8262
(225) 769-0474
Mailing address
PO BOX 1727, BATON ROUGE, LA 70821-1727
(225) 413-8262
(225) 769-0474
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4612
LA
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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