Individual
ELLEN BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSS, ITE
Contact information
Practice address
711 COLONIAL DR STE D, BATON ROUGE, LA 70806-6549
(225) 246-2162
Mailing address
945 RIDGEPOINT CT, BATON ROUGE, LA 70810-2877
(225) 636-6161
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
LA
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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