Individual
SEDDY BOURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
302 DULLES DR, LAFAYETTE, LA 70506-3008
(337) 262-4100
Mailing address
302 DULLES DR, LAFAYETTE, LA 70506-3008
(337) 262-4100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15471
LA
Other
Enumeration date
01/11/2023
Last updated
01/12/2023
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