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Individual

MRS. SUMER LEDET MIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D. M.P.

Contact information

Practice address
2232 SOUTH ALBERT STREET, LUTCHER, LA 70071-5245
(225) 323-5087
(866) 453-3775
Mailing address
PO BOX 795, LUTCHER, LA 70071-0795
(225) 323-5087
(866) 453-3775

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1157
LA
103TP0016X
Prescribing (Medical) Psychologist
Primary
320660
LA

Other

Enumeration date
07/12/2011
Last updated
02/10/2020
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