Individual
MRS. GRETCHEN PERCLE BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
110 BOWIE RD, THIBODAUX, LA 70301-6703
(985) 447-8181
(985) 387-6199
Mailing address
PO BOX 471, THIBODAUX, LA 70302-0471
(985) 447-8181
(985) 387-6199
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
4470
LA
Other
Enumeration date
02/17/2022
Last updated
02/23/2022
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