Individual
SHERRY STAIDUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
420 MAGNOLIA ST, HOUMA, LA 70360-6304
(985) 879-3966
Mailing address
420 MAGNOLIA ST, HOUMA, LA 70360-6304
(985) 879-3966
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4977
LA
Other
Enumeration date
01/30/2015
Last updated
02/03/2015
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