Individual
BRIDGETTE LYNETTE AZOANEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4119 LAKE SHERWOOD AVE E, BATON ROUGE, LA 70816-7322
(225) 485-6439
Mailing address
4119 LAKE SHERWOOD AVE E, BATON ROUGE, LA 70816-7322
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11002
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600964601
—
LA
Enumeration date
10/16/2020
Last updated
12/15/2025
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