Individual
MS. CONSTANCE B. THIBODEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-BACS
Contact information
Practice address
1515 POYDRAS ST, SUITE 1150, NEW ORLEANS, LA 70112-3723
(504) 658-2600
(504) 658-2680
Mailing address
1515 POYDRAS ST, SUITE 1150, NEW ORLEANS, LA 70112-3723
(504) 658-2600
(504) 658-2680
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4177
LA
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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