Individual
D RITA MADUELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
921 CAROLINE ST, THIBODAUX, LA 70301-2809
(985) 447-2006
(985) 447-4005
Mailing address
160 TRACE LOOP, MANDEVILLE, LA 70448-7558
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3199
LA
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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