Individual
MICKEY C DUPONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, GSW
Contact information
Practice address
421 W AIRLINE HWY STE L, LA PLACE, LA 70068-3820
(985) 651-7064
(985) 651-7076
Mailing address
421 W AIRLINE HWY STE L, LA PLACE, LA 70068-3820
(985) 651-7064
(985) 651-7076
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10094
LA
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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