Individual
MS. JOLIE CLAIRE MICHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 PUJO ST, LAKE CHARLES, LA 70601-4378
(337) 436-6622
(337) 436-4403
Mailing address
700 PUJO ST, LAKE CHARLES, LA 70601-4378
(337) 436-6622
(337) 436-4403
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
—
—
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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