Individual
DAKOTA THIBODEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
224 SAINT LANDRY ST STE 2C, LAFAYETTE, LA 70506-3578
(337) 291-2815
(337) 291-2817
Mailing address
224 SAINT LANDRY ST STE 2C, LAFAYETTE, LA 70506-3578
(337) 291-2815
(337) 291-2817
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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