Individual
MRS. CALVARY DE'ROSA SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1304 BERTRAND DR STE E3, LAFAYETTE, LA 70506-9105
(337) 221-0287
(884) 364-1683
Mailing address
1304 BERTRAND DR STE E3, LAFAYETTE, LA 70506-9105
(337) 221-0287
(884) 364-1683
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8073
LA
101YM0800X
Mental Health Counselor
PLC8073
LA
Other
Enumeration date
01/11/2022
Last updated
01/31/2022
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