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NPI Code Detail

MEDICARE: SUZANNE VICKNAIR PERRY L.C.S.W.

MEDICARE:   SUZANNE VICKNAIR PERRY  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 Worker2454LA

General Provider Information

NPI Number : 1538244959
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE VICKNAIR PERRY L.C.S.W.
Provider Business Mailing Address
First Line : 8555 E CYPRESS POINT CT
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-2284
Country : US
Telephone Number : 225-936-5512
Fax Number :
Provider Business Practice Location Address
First Line : 8555 E CYPRESS POINT CT
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-2284
Country : US
Telephone Number : 225-936-5512
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 12/22/2020

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Directions to “ SUZANNE VICKNAIR PERRY L.C.S.W.” Practice Location

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