JERRY PAUL BOUDREAUX

GULFPORT, MS
NPI1366515702
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MS  0058)
Enumeration Date2006-11-15
Last Update Date2007-07-08
Business Address
Mr. JERRY PAUL BOUDREAUX L C S W
549 E PASS RD SUITE P
GULFPORT, MS 39507-3261
Phone number: 228-896-9251
Mailing Address
Mr. JERRY PAUL BOUDREAUX L C S W
549 E PASS RD SUITE P
GULFPORT, MS 39507-3261
Phone number: 228-896-9251