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NPI Code Detail

MEDICARE: BRANDI LAMANA CONRAD LCSW-BACS

MEDICARE: BRANDI LAMANA CONRAD LCSW-BACS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker8780LA

General Provider Information

NPI Number : 1689734626
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDI LAMANA CONRAD LCSW-BACS
Provider Business Mailing Address
First Line : 4615 GOVERNMENT ST BLDG 2
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-5820
Country : US
Telephone Number : 225-922-0445
Fax Number : 225-922-0771
Provider Business Practice Location Address
First Line : 4615 GOVERNMENT ST BLDG 2
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-5820
Country : US
Telephone Number : 225-922-0445
Fax Number : 225-922-0771
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2006
Last Update Date : 01/26/2017

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Directions to “ BRANDI LAMANA CONRAD LCSW-BACS” Practice Location

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