| Amanda R. Dupre Lcsw Llc | |
|
1325 Wright Ave Suite E Crowley LA 70526-2226 | |
| (337) 384-8876 | |
| (337) 384-8876 |
| Full Name | Amanda R. Dupre Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1325 Wright Ave, Crowley, Louisiana |
| Authorized Official Name and Position | Amanda Dupre (OWNER) |
| Authorized Official Contact | 3373848876 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda R. Dupre Lcsw Llc Po Box 465 Crowley LA 70527-0465 Ph: (337) 384-8876 | Amanda R. Dupre Lcsw Llc 1325 Wright Ave Suite E Crowley LA 70526-2226 Ph: (337) 384-8876 |
| NPI Number | 1366849390 |
|---|---|
| Provider Enumeration Date | 11/19/2014 |
| Last Update Date | 11/19/2014 |
| Medicare PECOS PAC ID | 6002139565 |
|---|---|
| Medicare Enrollment ID | O20150108001556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366849390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4830 (Louisiana) | Primary |
| Provider Name | Amanda R Dupre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689897589 PECOS PAC ID: 7416116165 Enrollment ID: I20120315000508 |
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