Individual
THERESA ANN WOZENCRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
850 KALISTE SALOOM RD, SUITE 105, LAFAYETTE, LA 70508-4230
(337) 237-0788
(337) 237-0785
Mailing address
627 BELLEVUE PLANTATION RD, LAFAYETTE, LA 70503-6127
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
846
LA
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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