Individual
CAREY ELLENDER WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W., L.C.S.W.
Contact information
Practice address
1335B WOODDALE BLVD, BATON ROUGE, LA 70806-2328
(225) 928-4969
Mailing address
715 STONEY CREEK AVE, BATON ROUGE, LA 70808-8191
(225) 757-8538
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8025
LA
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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