Myra Gulotta Lcsw Llc | |
215 Rue Fontaine Lafayette LA 70508-5742 | |
(337) 577-5203 | |
(337) 806-9339 |
Full Name | Myra Gulotta Lcsw Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 215 Rue Fontaine, Lafayette, Louisiana |
Authorized Official Name and Position | Myra B Gulotta (OWNER) |
Authorized Official Contact | 3375775203 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Myra Gulotta Lcsw Llc 215 Rue Fontaine Lafayette LA 70508-5742 Ph: (337) 577-5203 | Myra Gulotta Lcsw Llc 215 Rue Fontaine Lafayette LA 70508-5742 Ph: (337) 577-5203 |
NPI Number | 1043046907 |
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Provider Enumeration Date | 09/09/2024 |
Last Update Date | 09/09/2024 |
Certification Date | 09/09/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043046907 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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