Amy Nicole Dysart, LCSW

NPI #1598050262 in Rayne, Louisiana

Provider Information

NPI Number
1598050262
Entity Type
Individual
Name
Amy Nicole Dysart, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Jun 10, 2011
Last Updated
Dec 6, 2011

Practice Location

Address
908 LOUISA AVE
City
Rayne
ZIP Code
70578-7230
Phone
(225) 270-0100

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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