| Shelley Gildwarg, Lcsw Llc | |
|
5920 Coliseum Blvd Alexandria LA 71303-3714 | |
| (318) 443-9339 | |
| (318) 443-9116 |
| Full Name | Shelley Gildwarg, Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5920 Coliseum Blvd, Alexandria, Louisiana |
| Authorized Official Name and Position | Tiffany Amber Stephens (DELEGATE) |
| Authorized Official Contact | 3184439339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelley Gildwarg, Lcsw Llc 5920 Coliseum Blvd Alexandria LA 71303-3714 Ph: (318) 443-9339 | Shelley Gildwarg, Lcsw Llc 5920 Coliseum Blvd Alexandria LA 71303-3714 Ph: (318) 443-9339 |
| NPI Number | 1902439219 |
|---|---|
| Provider Enumeration Date | 02/14/2020 |
| Last Update Date | 02/14/2020 |
| Certification Date | 02/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902439219 | NPI | - | NPPES |
| 1893412 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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