Individual
MS. BONITA R LACOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 446-6243
Mailing address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 466-2431
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3330
LA
Other
Enumeration date
05/16/2006
Last updated
06/12/2015
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