Individual
ANDREKA JENAY DEDEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11408 LAKE SHERWOOD AVE N, BATON ROUGE, LA 70816-0420
(225) 261-7143
Mailing address
15202 WESTIN CV, GULFPORT, MS 39503-8492
(228) 265-1131
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M10267
MS
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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