Individual
DEMETRIA J. BOUTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RSW
Contact information
Practice address
1049 MADELINE LN, SLIDELL, LA 70460-3995
(504) 231-1094
(504) 265-8340
Mailing address
1049 MADELINE LN, SLIDELL, LA 70460-3995
(504) 231-1094
(504) 265-8340
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8509
LA
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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