Individual
KIMBERLY MOSBY BOUVAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
58155 CHINN ST, PLAQUEMINE, LA 70764-3601
(225) 385-4543
(225) 385-4543
Mailing address
58155 CHINN ST, PLAQUEMINE, LA 70764-3601
(225) 385-4543
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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