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Individual

NICOLE MATTHEWS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5593 HIGHWAY 311, HOUMA, LA 70360-2866
(985) 868-2620
Mailing address
5593 HIGHWAY 311, HOUMA, LA 70360-2866

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
02/18/2014
Last updated
02/18/2014
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