Individual
MAURYA W GLAUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
232 PIRATE DRIVE, ST ROSE, LA 70087-4442
(985) 308-6101
(985) 785-5811
Mailing address
843 MILLING AVE, LULING, LA 70070-4442
(985) 785-5800
(985) 785-5811
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8879
LA
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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