Individual
GLYNIS VICTORIA ELIZABETH RENNELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-BACS
Contact information
Practice address
143 RIDGEWAY DR STE 106, LAFAYETTE, LA 70503-3410
(337) 993-1960
(337) 993-1961
Mailing address
100 ELMWOOD DR, LAFAYETTE, LA 70503-5117
(337) 962-4017
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4383
LA
Other
Enumeration date
05/14/2019
Last updated
07/22/2022
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