Organization
AMANDA R. DUPRE', LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA DUPRE' LCSW (MANAGER)
(337) 523-3602
Entity
Organization
Contact information
Practice address
308 CYPRESS ST., IOTA, LA 70543
(337) 523-3602
Mailing address
PO BOX 812, IOTA, LA 70543-0812
(337) 523-3602
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4830
LA
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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