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Individual

DIANNE MARIE GAUTHIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5475 ESSEN LN, BATON ROUGE, LA 70809-3737
(225) 226-5947
Mailing address
7520 PERKINS RD STE 180B, BATON ROUGE, LA 70808-9111
(225) 276-8428

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC10784
LA

Other

Enumeration date
10/24/2022
Last updated
07/07/2025
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