Individual
JULIETTE BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA - PSYCHOLOGY
Contact information
Practice address
820 ASBURY DR, MANDEVILLE, LA 70471-1842
(985) 674-5155
(985) 674-5156
Mailing address
69161 ROWELL ST, MANDEVILLE, LA 70471-8035
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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