Organization
ANDREA VIDRINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA VIDRINE (OWNER)
(337) 288-7022
Entity
Organization
Contact information
Practice address
1000 W PINHOOK RD STE 311, LAFAYETTE, LA 70503-2460
(337) 288-7022
Mailing address
630 S CORPORATION ST, CHURCH POINT, LA 70525-4208
(337) 288-7022
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/26/2019
Last updated
01/26/2019
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