Individual
LEVIDA LONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2156 WOODDALE BLVD, BATON ROUGE, LA 70806-1403
(225) 444-3169
Mailing address
2156 WOODDALE BLVD, BATON ROUGE, LA 70806-1403
(225) 444-3169
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12186
LA
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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