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Individual

MS. DARBY ANN BOURGEOIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN CPSS

Contact information

Practice address
84425 TERRELL RD N, BOGALUSA, LA 70427-6823
(985) 570-3774
Mailing address
84425 TERRELL RD N, BOGALUSA, LA 70427-6823
(985) 570-3774

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
720109
LA
171M00000X
Case Manager/Care Coordinator
Primary
175T00000X
Peer Specialist
OBH1037
LA

Other

Enumeration date
11/08/2023
Last updated
11/08/2023
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