Individual
GARY MIDKIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4615 GOVERNMENT ST, BUILDING 2, BATON ROUGE, LA 70806-5922
(225) 922-0090
(225) 925-1972
Mailing address
4615 GOVERNMENT ST, BUILDING 2, BATON ROUGE, LA 70806-5922
(225) 922-0090
(225) 925-1972
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7328
LA
Other
Enumeration date
04/25/2013
Last updated
04/25/2013
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