LACY FONTENOT GUEDON

WINNSBORO, LA
NPI1922484757
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA  AP08776)
Additional Taxonomies364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family
(Licence: LA  08776)
Enumeration Date2015-08-04
Last Update Date2021-04-07
Business Address
Mrs. LACY FONTENOT GUEDON PMHNP
2104 LOOP RD STE C
WINNSBORO, LA 71295-3341
Phone number: 318-435-6377
Mailing Address
Mrs. LACY FONTENOT GUEDON PMHNP
PO BOX 1300
WINNSBORO, LA 71295-3344
Phone number: 318-435-6377