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Individual

EMILY LAVASTIDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3020 MYRTLE AVE, BATON ROUGE, LA 70806-6848
(985) 634-4458
(985) 634-4458
Mailing address
3020 MYRTLE AVE, BATON ROUGE, LA 70806-6848
(985) 634-4458
(985) 634-4458

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15362
LA

Other

Enumeration date
02/16/2026
Last updated
02/16/2026
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