Individual
DR. JACQUELYN BRAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2000 SOUTHWOOD DR, LAKE CHARLES, LA 70605-4138
(337) 474-2682
(337) 474-4601
Mailing address
2000 SOUTHWOOD DR, LAKE CHARLES, LA 70605-4138
(337) 474-2682
(337) 474-4601
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1285
LA
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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