MARY JUANITA THIBODEAUX

LIBERTY, MO
NPI1801004510
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MO  2002024986)
Enumeration Date2007-05-18
Last Update Date2010-03-30
Business Address
MS. MARY JUANITA THIBODEAUX LCSW
7 WESTOWNE
LIBERTY, MO 66068
Phone number: 816-407-1754
Mailing Address
MS. MARY JUANITA THIBODEAUX LCSW
1012 E 76TH ST
KANSAS CITY, MO 64131-2008
Phone number: 816-444-6533