Individual
MS. JULIA SMITH BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4502 HWY 951, JACKSON, LA 70748
(225) 634-0160
Mailing address
6471 KALIPEKONA WAY, DIAMONDHEAD, MS 39525-3812
(228) 255-1125
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1516
LA
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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