Individual
PAMELA GAUTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 E THOMAS ST, HAMMOND, LA 70401-3316
(985) 956-7823
Mailing address
867 DUPARD ST, MANDEVILLE, LA 70448-4328
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/30/2015
Last updated
11/30/2015
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