SUSAN BLAKSTONE

LAFAYETTE, LA
NPI1558334938
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: LA  2215)
Enumeration Date2006-02-08
Last Update Date2007-07-08
Business Address
-- SUSAN BLAKSTONE LCSW
345 DOUCET RD
LAFAYETTE, LA 70503-3407
Phone number: 337-989-2084
Mailing Address
-- SUSAN BLAKSTONE LCSW
PO BOX 1254
BROUSSARD, LA 70518-1254
Phone number: 337-837-9837