Individual
MADONNA AUSTIN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
13909 FLORIDA BLVD, LIVINGSTON, LA 70754-6340
(225) 686-7600
Mailing address
13909 FLORIDA BLVD, LIVINGSTON, LA 70754-6340
(225) 686-4335
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
4729
LA
1041S0200X
School Social Worker
—
—
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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