Individual
MS. BRIDGETTE M MOUTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1304 BERTRAND DR STE B3, LAFAYETTE, LA 70506-9102
(337) 962-1987
(844) 364-1683
Mailing address
1304 BERTRAND DR STE B3, LAFAYETTE, LA 70506-9102
(337) 962-1987
(844) 364-1683
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13360
LA
Other
Enumeration date
05/17/2019
Last updated
11/27/2023
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