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Individual

RICHARD NAQUIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH,LPC,LMFT

Contact information

Practice address
519 BLAKE CT, THIBODAUX, LA 70301-3503
(504) 913-8776
Mailing address
519 BLAKE CT, THIBODAUX, LA 70301-3503
(504) 913-8776

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2218
LA
183500000X
Pharmacist
10571
LA

Other

Enumeration date
07/04/2014
Last updated
10/13/2015
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