Individual
MARNIE KOGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15604 CONFEDERATE AVE, BATON ROUGE, LA 70817-3613
(225) 610-2832
Mailing address
15604 CONFEDERATE AVE, BATON ROUGE, LA 70817-3613
(225) 610-2832
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12785
LA
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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