Individual
JESSICA DECLOUET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 N MAIN ST, OPELOUSAS, LA 70570-6256
(337) 942-6400
(337) 948-7400
Mailing address
116 BERTRAND DR, LAFAYETTE, LA 70506-5632
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
01/31/2019
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