Organization
ANGELS HEARTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNIE LYNN GUNNER CERTIFICATE (MEMBER)
(337) 519-6126
Entity
Organization
Contact information
Practice address
604 CENTER ST, NEW IBERIA, LA 70560-5502
(337) 321-9424
(337) 214-2012
Mailing address
604 CENTER ST, NEW IBERIA, LA 70560-5502
(337) 321-9424
(337) 214-2012
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
CERTIFICATE
GA
Other
Enumeration date
06/20/2015
Last updated
06/20/2015
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