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Individual
MRS. ELSIE ANN GAUDREAULT
Active
Individual
MRS. ELSIE ANN GAUDREAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
18135
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3905 723
HOME ADDRESS NUMBERS
TX
Enumeration date
10/03/2006
Last updated
09/28/2009
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