Individual
MRS. GAIL H. AYCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW,BCD
Contact information
Practice address
911 VERRET ST, HOUMA, LA 70360-4637
(985) 851-6237
(985) 876-2878
Mailing address
911 VERRET ST, HOUMA, LA 70360-4637
(985) 851-6237
(985) 876-2878
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1831
LA
Other
Enumeration date
07/12/2005
Last updated
05/16/2011
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