Individual
MS. LISA TADLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
302 RICHMOND ST, BOGALUSA, LA 70427-3942
(985) 732-5580
(985) 732-5581
Mailing address
302 RICHMOND ST, BOGALUSA, LA 70427-3942
(985) 732-5580
(985) 732-5581
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3975
LA
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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