Individual
MR. JOHN EDWARD QUEYROUZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
5001 RONALD REAGAN HWY, SUITE D4, COVINGTON, LA 70433
(985) 264-3599
(985) 674-0317
Mailing address
PO BOX 132, MANDEVILLE, LA 70470-0132
(985) 264-3599
(985) 674-0317
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2165
LA
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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