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Individual
MEREDITH FORT DUBOSE
Active
Individual
MEREDITH FORT DUBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11567
LA
Other
Enumeration date
04/04/2012
Last updated
10/25/2021
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