Individual
ELIZABETH D BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DSW, LMSW
Contact information
Practice address
402 DESTRAHAN DR, THIBODAUX, LA 70301-2951
(985) 688-8606
Mailing address
402 DESTRAHAN DR, THIBODAUX, LA 70301-2951
(985) 688-8606
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/18/2017
Last updated
07/21/2022
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