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Individual

CLARENCE MCGUIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
521 LEGION AVE, HOUMA, LA 70364-3339
(985) 857-3612
(985) 857-3782
Mailing address
521 LEGION AVE, HOUMA, LA 70364-3339
(985) 857-3612
(985) 857-3782

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
686
LA

Other

Enumeration date
07/12/2006
Last updated
07/08/2007
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