Individual
MR. ANTHONY BASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3140 FLORIDA BLVD, BATON ROUGE, LA 70806-3757
(225) 650-2000
Mailing address
832 W JOHNSON ST, BATON ROUGE, LA 70802-8234
(225) 266-2087
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13331
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13331
LOUISIANA STATE BOARD OF SOCIAL WORK EXAMINERS
LA
Enumeration date
05/13/2019
Last updated
03/11/2021
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