Individual
ANGELA MONCEAUX COSTILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
302 DULLES DR, LAFAYETTE, LA 70506-3008
(337) 262-4100
Mailing address
2851 JOHNSTON ST # 549, LAFAYETTE, LA 70503-3243
(337) 356-7924
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4565
LA
Other
Enumeration date
10/28/2006
Last updated
02/25/2015
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