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Wanda S Aguillard, NA

Counselor, Mental Health in Lake Charles, LA. Individual provider (NPI-1).

NPI number1972641116
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1972641116
Entity type
Individual (NPI-1)
Name
Wanda S Aguillard
Credential
NA
Sex
Female
Sole proprietor
No
Enumeration date
Feb 1, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

4105 Kirkman St
Lake Charles, LA 70607-4603

Phone 337-475-8022

Mailing address

5801 Dundee St
Lake Charles, LA 70605-7128

Phone 337-478-0854

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