Individual
ANASTASIA VICKNAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
PO BOX 318090, BATON ROUGE, LA 70831-8090
(318) 880-7199
Mailing address
PO BOX 318090, BATON ROUGE, LA 70831-8090
(318) 880-7199
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14137
LA
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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