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Individual

DUDLEY ROBICHEAUX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
4727 REVERE AVE, BATON ROUGE, LA 70808-3168
(225) 924-0123
(225) 924-5455
Mailing address
7107 ANNABELLE AVE, BATON ROUGE, LA 70806-8154
(225) 924-0123
(225) 924-5455

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2220
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2220
LICENSED SOCIAL WORKER
LA
Enumeration date
08/01/2006
Last updated
07/08/2007
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