Individual
DR. GLORIA BOUTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOCTOR
Contact information
Practice address
124 ABIGAYLE ROW, SCOTT, LA 70583-8909
(337) 504-2655
Mailing address
124 ABIGAYLE ROW, SCOTT, LA 70583-8909
(337) 504-2655
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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