Individual
TARA RISPONE DELEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12249 HOOPER ROAD, BATON ROUGE, LA 70818
(225) 588-5161
Mailing address
12249 HOOPER ROAD, BATON ROUGE, LA 70818
(225) 588-5161
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8622
LA
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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