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Individual

CHARLOTTE MARIE GOUDEAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LM, CPM

Contact information

Practice address
77900 JANIE LN, MARINGOUIN, LA 70757-3027
(225) 776-0277
Mailing address
77900 JANIE LN, MARINGOUIN, LA 70757-3027
(225) 776-0277

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
301643
LA

Other

Enumeration date
05/21/2016
Last updated
05/21/2016
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