| Andrea Vidrine | |
|
1000 W Pinhook Rd Ste 311 Lafayette LA 70503-2460 | |
| (337) 288-7022 | |
| Not Available |
| Full Name | Andrea Vidrine |
|---|---|
| Speciality | Social Worker |
| Location | 1000 W Pinhook Rd Ste 311, Lafayette, Louisiana |
| Authorized Official Name and Position | Andrea Vidrine (OWNER) |
| Authorized Official Contact | 3372887022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Vidrine 630 S Corporation St Church Point LA 70525-4208 Ph: (337) 288-7022 | Andrea Vidrine 1000 W Pinhook Rd Ste 311 Lafayette LA 70503-2460 Ph: (337) 288-7022 |
| NPI Number | 1023572807 |
|---|---|
| Provider Enumeration Date | 01/26/2019 |
| Last Update Date | 01/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023572807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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