NIKULAS LAGENE BOUDREAUX

BALTIMORE, MD
NPI1053837443
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: KS  10341)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: MO  08092017273360)
Enumeration Date2017-08-17
Last Update Date2023-06-24
Business Address
NIKULAS LAGENE BOUDREAUX
755 W HAMBURG ST
BALTIMORE, MD 21230-2540
Phone number: 915-490-0002
Mailing Address
NIKULAS LAGENE BOUDREAUX
3612 N CHOUTEAU TRFY APT B
KANSAS CITY, MO 64117-3106
Phone number: