Individual
JAIME R. MICHOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2645 S FIELDSPAN RD, DUSON, LA 70529-4201
(337) 501-7169
(337) 521-7891
Mailing address
113 CHAPLIN DR, LAFAYETTE, LA 70508-2101
(337) 501-7169
(337) 521-7088
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
4199
LA
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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