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Individual

MS. MELISSA T VIDRINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
301 DUNAND ST, LAFAYETTE, LA 70501-2215
(337) 470-3362
(337) 231-0022
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(337) 470-3362
(225) 765-9196

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10553
LA

Other

Enumeration date
12/04/2019
Last updated
11/24/2023
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