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Individual

MS. WALBURGA MAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, LMFT

Contact information

Practice address
901 S VIENNA ST, RUSTON, LA 71270-5829
(318) 242-4659
(318) 242-4698
Mailing address
901 S VIENNA ST, RUSTON, LA 71270-5829
(318) 242-4659
(318) 242-4698

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2341
LA
103K00000X
Behavior Analyst
810
LA

Other

Enumeration date
05/02/2011
Last updated
05/02/2011
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