Individual
SIERRA BOUTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2309 GRAND POINT RD, BREAUX BRIDGE, LA 70517-3323
(337) 935-2310
Mailing address
2309 GRAND POINT RD, BREAUX BRIDGE, LA 70517-3323
(337) 935-2310
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15735
LA
Other
Enumeration date
08/22/2022
Last updated
04/12/2024
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