Individual
MS. LINDSAY MICHELLE THIBODEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTER SOCIAL WORK
Contact information
Practice address
3407 SHAMROCK CT, GAUTLER, MS 39553-6429
(228) 497-0690
(228) 497-1363
Mailing address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-5000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M8587
MS
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018214
—
MS
05
—
1346549177
—
MS
Enumeration date
03/18/2011
Last updated
04/19/2018
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