Individual
MS. TARA THIBODAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMFT
Contact information
Practice address
1901B AIRLINE DR, METAIRIE, LA 70001-5936
(504) 833-4673
Mailing address
1901B AIRLINE DR, METAIRIE, LA 70001-5936
(504) 833-4673
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1253
LA
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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