Individual
JOLIE GUIDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSSP, NCSP
Contact information
Practice address
110 BOWIE RD, THIBODAUX, LA 70301-6703
(985) 447-8181
Mailing address
110 BOWIE RD, THIBODAUX, LA 70301-6703
(985) 447-8181
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
466077
LA
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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