Kiley P Cedotal, LCSW-BACS, FACHE
NPI #1194537597 in Ponchatoula, Louisiana
Provider Information
- NPI Number
- 1194537597
- Entity Type
- Individual
- Name
- Kiley P Cedotal, LCSW-BACS, FACHE
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW-BACS, FACHE
- Enumeration Date
- Jan 22, 2025
- Last Updated
- Jan 22, 2025
Practice Location
- Address
- 532 PONDEROSA DR
- City
- Ponchatoula
- State
- Louisiana
- ZIP Code
- 70454-9428
- Phone
- (225) 715-8768
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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