Individual
PATRICIA DEMOUY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4727 REVERE AVE, BATON ROUGE, LA 70808-3168
(225) 924-0123
(225) 924-5455
Mailing address
1347 ARLINGTON AVE, BATON ROUGE, LA 70806-6817
(225) 383-2635
(225) 924-5455
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3634
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3634
SOCIAL WORKER LICENSE
LA
Enumeration date
08/10/2006
Last updated
07/08/2007
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