Individual provider · NPI-1

Amanda Richard Dupre', LCSW

Social Worker, Clinical · Crowley, LA

NPI number1689897589
StatusActive
Last updated in NPPESJul 19, 2016

Details

NPI
1689897589
Entity type
Individual (NPI-1)
Name
Amanda Richard Dupre'
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 10, 2007
Last updated
Jul 19, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical4830LAYes

Practice location

21 Henrietta Dr
Crowley, LA 70526-2303

Phone 337-384-8876 · Fax 337-250-4676

Mailing address

21 Henrietta Dr
Crowley, LA 70526-2303

Phone 337-384-8876 · Fax 337-250-4676

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