Individual
KELLI DAIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
142A RUE MARGUERITE, THIBODAUX, LA 70301
(985) 625-0023
Mailing address
142A RUE MARGUERITE, THIBODAUX, LA 70301
(985) 625-0023
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6276
LA
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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