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Individual

DR. MARIA B CRUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
604 NORTH ACADIA RD, SUITE 201, THIBODAUX, LA 70301
(985) 493-9304
(985) 493-9305
Mailing address
PO BOX 1173, 604 NORTH ACADIA RD SUITE 201, THIBODAUX, LA 70302-1173
(985) 493-9304
(985) 493-9305

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
09188R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1650421
LA
Enumeration date
06/30/2006
Last updated
06/20/2008
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