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1225060098
GERALDINE R BOURDEAUX
HOUMA, LA
NPI
1225060098
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 2584)
Enumeration Date
2006-07-06
Last Update Date
2007-07-08
Business Address
-- GERALDINE R BOURDEAUX LPC
521 LEGION AVE
HOUMA, LA 70364-3339
Phone number: 985-857-3612
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Mailing Address
-- GERALDINE R BOURDEAUX LPC
521 LEGION AVE
HOUMA, LA 70364-3339
Phone number: 985-857-3612
Copy
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