Individual
MARY B GAUDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GSW
Contact information
Practice address
1112 E ASCENSION COMPLEX BLVD, GONZALES, LA 70737-4265
(225) 621-5775
Mailing address
14600 VALENTINE RD, PRAIRIEVILLE, LA 70769-6736
(225) 622-1062
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7708
LA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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