Individual provider · NPI-1
Andrea K. Gautreaux, LCSW
Social Worker, School · Crowley, LA
NPI number1871355131
StatusActive
Last updated in NPPESJan 23, 2024
Details
- NPI
- 1871355131
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Andrea K. Gautreaux
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 23, 2024
- Certification date
- Jan 23, 2024
- Last updated
- Jan 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041S0200X | Social Worker, School | 4588 | LA | Yes |
Practice location
2122 N Parkerson Ave Ste ACrowley, LA 70526-2001
Phone 337-783-3171
Mailing address
Po Box 309Crowley, LA 70527-0309
Phone 337-783-3171
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