AMY NICOLE DYSART

RAYNE, LA
NPI1598050262
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: LA  9020)
Enumeration Date2011-06-10
Last Update Date2011-12-06
Business Address
-- AMY NICOLE DYSART LCSW
908 LOUISA AVE
RAYNE, LA 70578-7230
Phone number: 225-270-0100
Mailing Address
-- AMY NICOLE DYSART LCSW
908 LOUISA AVE
RAYNE, LA 70578-7230
Phone number: 225-270-0100