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NPI Code Detail

MEDICARE: DR. ADA MONIQUE CRAIGE-ROBERSON ED.D., LCSW-BACS

MEDICARE: DR. ADA MONIQUE CRAIGE-ROBERSON ED.D., 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
11041C0700XClinical Social Worker4605LA

General Provider Information

NPI Number : 1427484104
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADA MONIQUE CRAIGE-ROBERSON ED.D., LCSW-BACS
Provider Business Mailing Address
First Line : 4219 MAGNOLIA ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70115-6207
Country : US
Telephone Number : 504-899-4461
Fax Number : 504-899-4464
Provider Business Practice Location Address
First Line : 4219 MAGNOLIA ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70115-6207
Country : US
Telephone Number : 504-899-4461
Fax Number : 504-899-4464
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2013
Last Update Date : 09/25/2013

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Directions to “ DR. ADA MONIQUE CRAIGE-ROBERSON ED.D., LCSW-BACS” Practice Location

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