Individual
MRS. LAURIE MICHELLE BARDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
132 FLAGON LOOP, PINEVILLE, LA 71360-3761
(318) 715-7456
Mailing address
132 FLAGON LOOP, PINEVILLE, LA 71360-3761
(318) 715-7456
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8472
LA
Other
Enumeration date
09/22/2021
Last updated
11/09/2021
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