Individual
SHARON PRUDHOMME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MSW
Contact information
Practice address
710 W PRIEN LAKE RD, SUITE 212, LAKE CHARLES, LA 70601-8349
(318) 229-6662
Mailing address
710 W PRIEN LAKE RD, SUITE 212, LAKE CHARLES, LA 70601-8349
(318) 229-6662
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12467
LA
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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