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Individual

MRS. BRENDA J DURHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
5760 MONTICELLO DR, SAINT GABRIEL, LA 70776-0209
(225) 642-9676
(225) 642-9696
Mailing address
PO BOX 209, SAINT GABRIEL, LA 70776-0209
(225) 642-9676
(225) 642-9696

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1888
LA

Other

Enumeration date
12/01/2009
Last updated
12/01/2009
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