Individual
MS. ROBIN MOUTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
806 JEFFERSON TER, NEW IBERIA, LA 70560
(337) 365-4945
Mailing address
806 JEFFERSON TER, NEW IBERIA, LA 70560-5727
(337) 365-4945
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4123
LA
1041C0700X
Clinical Social Worker
57332
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1803235
—
LA
Enumeration date
10/02/2009
Last updated
10/16/2019
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