Individual
SIOMARA GITTENS-GALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1111 MEDICAL CENTER BLVD., STE. N804, MARRERO, LA 70072-3147
(504) 349-6360
(504) 349-6363
Mailing address
1111 MEDICAL CENTER BLVD., STE. N804, MARRERO, LA 70072-3147
(504) 349-6360
(504) 349-6363
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7067
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7067
LICENSED MASTER SOCIAL WORKER
LA
Enumeration date
07/09/2012
Last updated
07/09/2012
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