Individual
COREY C LUTTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2163 POWERBROOK DR, BATON ROUGE, LA 70816-2972
(225) 270-2309
Mailing address
2163 POWERBROOK DR, BATON ROUGE, LA 70816-2972
(225) 270-2309
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15812
LA
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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