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Individual

MRS. SHAWN BOURGEOIS GAUTREAUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC-S

Contact information

Practice address
106 WAUBAN AVE, SCHRIEVER, LA 70395-4104
(985) 492-0378
Mailing address
106 WAUBAN AVE, SCHRIEVER, LA 70395-4104
(985) 492-0378

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3380
LA

Other

Enumeration date
09/04/2019
Last updated
09/04/2019
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