Individual
MS. NICOLE LETRICE BOUIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2219 DANTE ST, NEW ORLEANS, LA 70118-2956
(504) 931-0549
(504) 861-9072
Mailing address
2219 DANTE ST, NEW ORLEANS, LA 70118-2956
(504) 931-0549
(504) 861-9072
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6170
LA
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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