Organization · NPI-2

Amanda R. Dupre Lcsw LLC

Social Worker, Clinical · Crowley, LA

NPI number1366849390
StatusActive
Last updated in NPPESNov 19, 2014

Details

NPI
1366849390
Entity type
Organization (NPI-2)
Legal business name
Amanda R. Dupre Lcsw LLC
Organization subpart
No
Enumeration date
Nov 19, 2014
Last updated
Nov 19, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical4830LAYes

Practice location

1325 Wright Ave
Suite E
Crowley, LA 70526-2226

Phone 337-384-8876 · Fax 337-384-8876

Mailing address

Po Box 465
Crowley, LA 70527-0465

Phone 337-384-8876 · Fax 337-783-5901

Authorized official

Amanda Dupre
Owner
3373848876

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