Individual
CRYSTAL THIBODAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 MAGNOLIA ST, HOUMA, LA 70360-6304
(985) 855-8055
Mailing address
420 MAGNOLIA ST, HOUMA, LA 70360-6304
(985) 855-8055
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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