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NPI Code Detail

MEDICARE: MR. ALFRED LOUIS ROBELOT JR. L.C.S.W.

MEDICARE:  MR. ALFRED LOUIS ROBELOT JR. L.C.S.W.
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
11041C0700XClinical Social Worker3422LA

General Provider Information

NPI Number : 1871744003
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ALFRED LOUIS ROBELOT JR. L.C.S.W.
Provider Business Mailing Address
First Line : 1056 E WORTHY ST
Second Line : SUITE E
City : GONZALES
State : LA
Zip : 70737-4369
Country : US
Telephone Number : 225-603-3135
Fax Number : 225-647-0658
Provider Business Practice Location Address
First Line : 1056 E WORTHY ST
Second Line : SUITE E
City : GONZALES
State : LA
Zip : 70737-4369
Country : US
Telephone Number : 225-603-3135
Fax Number : 225-647-0658
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2008
Last Update Date : 10/07/2008

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Directions to “ MR. ALFRED LOUIS ROBELOT JR. L.C.S.W.” Practice Location

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