Individual
ROSE L COLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5339 DIDESSE DR, BATON ROUGE, LA 70808-4306
(225) 769-7581
(225) 769-7540
Mailing address
5339 DIDESSE DR, BATON ROUGE, LA 70808-4306
(225) 769-7581
(225) 769-7540
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2803
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1186198
—
LA
Enumeration date
11/17/2006
Last updated
07/08/2007
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