Individual
GERALD E WINDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2713B HODGES ST, LAKE CHARLES, LA 70601-7365
(337) 302-0801
Mailing address
300 E MCNEESE ST, SUITE 3A, LAKE CHARLES, LA 70605-5700
(337) 302-0801
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6089
LA
Other
Enumeration date
02/23/2007
Last updated
12/08/2016
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