Individual
GWEN SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 EXCHANGE PL, LAFAYETTE, LA 70503-2510
(337) 234-5715
(337) 234-4466
Mailing address
114 EXCHANGE PL, LAFAYETTE, LA 70503-2510
(337) 234-5715
(337) 234-4466
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
129
LA
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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