Individual
ELIZABETH C THIBODEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3149 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70506-7209
(337) 706-3415
Mailing address
3149 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70506-7209
(337) 706-3415
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13989
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8046260
—
LA
Enumeration date
04/24/2013
Last updated
10/23/2023
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