Individual
CORTNI HEBERT MIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
525 S BUCHANAN ST, LAFAYETTE, LA 70501-6815
(337) 962-3159
Mailing address
9413 GAGE RD, MAURICE, LA 70555-3773
(337) 385-7499
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11763
LA
Other
Enumeration date
05/21/2017
Last updated
05/21/2017
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