Individual
CATHERINE BORDELON LEMOINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2104 CLECO ST, MANSURA, LA 71350-4451
(318) 964-2679
Mailing address
PO BOX 450, MANSURA, LA 71350-0450
(318) 964-2679
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1544761
—
LA
Enumeration date
06/09/2022
Last updated
06/15/2023
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