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1720010515
DANIEL G. BOUDREAUX
MANDEVILLE, LA
NPI
1720010515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA LCSW#5479)
Enumeration Date
2006-07-06
Last Update Date
2007-07-08
Business Address
-- DANIEL G. BOUDREAUX LCSW
23861 ROBIN ROAD
MANDEVILLE, LA 70448
Phone number: 985-624-4100
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Mailing Address
-- DANIEL G. BOUDREAUX LCSW
PO BOX 37
MANDEVILLE, LA 70470-0037
Phone number: 985-624-4100
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