Individual
MS. GWENDELYN GAYLE WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-BACS
Contact information
Practice address
302 DULLES DR, LAFAYETTE, LA 70506-3008
(337) 262-1486
(337) 262-4117
Mailing address
101 RADCLIFFE DR, LAFAYETTE, LA 70501-6408
(225) 776-9816
(337) 262-4117
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1292
LA
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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