Individual
MRS. BRANDY MICHELLE SKIDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
601 TEEMA RD, CARENCRO, LA 70520
(337) 521-7640
(337) 521-7641
Mailing address
4400A AMBASSADOR CAFFERY PKWY # 167, LAFAYETTE, LA 70508-6706
(337) 450-0406
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10927
LA
1041S0200X
School Social Worker
10927
LA
Other
Enumeration date
09/08/2014
Last updated
07/30/2020
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