Individual
MRS. STACY MARIE DUGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11990 JACKSON ST, CLINTON, LA 70722
(225) 683-5292
(225) 683-3411
Mailing address
PO BOX 395, CLINTON, LA 70722-0395
(225) 683-5292
(225) 683-3411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4467
LA
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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