Provider Demographics
NPI:1235977067
Name:ROUX, INNA MARGARET
Entity type:Individual
Prefix:
First Name:INNA
Middle Name:MARGARET
Last Name:ROUX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1058 E WORTHY ST STE B-2
Mailing Address - Street 2:
Mailing Address - City:GONZALES
Mailing Address - State:LA
Mailing Address - Zip Code:70737-4359
Mailing Address - Country:US
Mailing Address - Phone:225-450-3216
Mailing Address - Fax:225-450-3799
Practice Address - Street 1:1058 E WORTHY ST STE B-2
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-4359
Practice Address - Country:US
Practice Address - Phone:225-450-3216
Practice Address - Fax:225-450-3799
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker