BRENT M THIBODAUX

MORGAN CITY, LA
NPI1295078426
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  1240)
Enumeration Date2013-04-06
Last Update Date2013-04-06
Business Address
-- BRENT M THIBODAUX LAC
1271 BELLEVIEW ST
MORGAN CITY, LA 70380-5351
Phone number: 985-399-3330
Mailing Address
-- BRENT M THIBODAUX LAC
1271 BELLEVIEW ST
MORGAN CITY, LA 70380-5351
Phone number: 985-399-3330
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