Gretchen Percle Bourgeois, LCSW
Social Worker, School in Thibodaux, LA. Individual provider (NPI-1).
NPI number1013662006
StatusActive
Last updated in NPPESFeb 23, 2022
Details
- NPI
- 1013662006
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Gretchen Percle Bourgeois
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 17, 2022
- Certification date
- Feb 23, 2022
- Last updated
- Feb 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041S0200X | Social Worker, School | 4470 | LA | Yes |
Practice location
110 Bowie RdThibodaux, LA 70301-6703
Phone 985-447-8181 · Fax 985-387-6199
Mailing address
Po Box 471Thibodaux, LA 70302-0471
Phone 985-447-8181 · Fax 985-387-6199
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All 7 School Social Worker providers in Thibodaux · All 1,515 providers in Thibodaux
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