Individual
ANGELLE ANTOINETTE BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4323 DIVISION ST, METAIRIE, LA 70002-3184
(504) 287-8009
Mailing address
6050 PRATT DR, NEW ORLEANS, LA 70122-2752
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15394
LA
171M00000X
Case Manager/Care Coordinator
15394
LA
Other
Enumeration date
10/01/2019
Last updated
03/12/2024
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