Individual
MR. JAMES MILFRED GOUDEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
240 ATKINS AVE, SHREVEPORT, LA 71104-4538
(318) 861-3202
Mailing address
240 ATKINS AVE, SHREVEPORT, LA 71104-4538
(318) 861-3202
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1223
LA
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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