Individual
DYLAN T CHARPENTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
809 MARTIN LUTHER KING JR DR, LAFAYETTE, LA 70501-1884
(337) 233-2437
Mailing address
100 TEAL LN APT 54, LAFAYETTE, LA 70507-4960
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17139
LA
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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