Individual
GINA GAUTHREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
180 DEBUYS RD, STE 203, BILOXI, MS 39531-4402
(228) 273-4096
Mailing address
PO BOX 4594, BILOXI, MS 39535-4594
(228) 273-4096
(228) 594-1765
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C4722
MS
Other
Enumeration date
01/19/2017
Last updated
12/04/2020
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