Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 3314 | LA |
NPI | 1003107079 |
---|---|
Provider Name | Mrs. Nada El-Baghdadi |
First Address | Monroe, LA 71201-6037 |
Second Address | Bossier City, LA 71111 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2011 |
Last Update Date | 26/04/2011 |