Individual
AMANDA RICHARD DUPRE'
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
21 HENRIETTA DR, CROWLEY, LA 70526-2303
(337) 384-8876
(337) 250-4676
Mailing address
21 HENRIETTA DR, CROWLEY, LA 70526-2303
(337) 384-8876
(337) 250-4676
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4830
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2173782
—
LA
Enumeration date
04/10/2007
Last updated
07/19/2016
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