Individual
ANGELICA STATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
617 E MADISON AVE, BASTROP, LA 71220-3833
(318) 239-3890
(318) 239-3891
Mailing address
617 E MADISON AVE, BASTROP, LA 71220-3833
(318) 239-3890
(318) 239-3891
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
17318
LA
Other
Enumeration date
10/06/2015
Last updated
02/03/2023
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