Individual
GRETCHUN BEVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1131 RUE DU BELIER, LAFAYETTE, LA 70506
(337) 704-0799
(337) 704-0798
Mailing address
1131 RUE DU BELIER, LAFAYETTE, LA 70506
(337) 704-0799
(337) 704-0798
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11505
LA
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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