Individual
JENNIFER MARIE DOUCET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
845 DESOTO ST, LAKE CHARLES, LA 70607-6369
(337) 764-0343
Mailing address
845 DESOTO ST, LAKE CHARLES, LA 70607-6369
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
302250
LA
Other
Enumeration date
08/04/2023
Last updated
11/16/2023
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