Individual
CARLENE B THIBODEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 RIVERDALE DR, JEFFERSON, LA 70121-3507
(504) 575-3712
Mailing address
2900 INDIANA AVE, KENNER, LA 70065-4605
(504) 575-3712
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3527
LA
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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