Individual
EDOLIA DECLOUETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA
Contact information
Practice address
1010 AUBURN AVE, LAFAYETTE, LA 70503-2308
(337) 232-9457
Mailing address
1010 AUBURN AVE, LAFAYETTE, LA 70503-2308
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/18/2017
Last updated
05/18/2017
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