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Individual

CANDY GOUGIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3420 KABEL DR, NEW ORLEANS, LA 70131-6926
(504) 394-5937
Mailing address
1310 MONROE ST, GRETNA, LA 70053-3239

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/05/2017
Last updated
09/05/2017
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