Individual
GINO JOSEPH BERTUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
7336 HIGHLAND RD, BATON ROUGE, LA 70808
(225) 938-9971
Mailing address
32875 KIRBYWOOD DR, WALKER, LA 70785
(225) 938-9971
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4092
LA
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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