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Individual

MR. BRANDON M. GAUDET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
201 CONEY DR, ARABI, LA 70032-2121
(504) 453-0064
Mailing address
67 OLD HICKORY ST, CHALMETTE, LA 70043-4525
(504) 453-0064

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
LA
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
12/07/2016
Last updated
11/30/2018
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