MS. Mary Juanita Thibodeaux, LCSW

NPI #1801004510 in Liberty, Missouri

Provider Information

NPI Number
1801004510
Entity Type
Individual
Name
MS. Mary Juanita Thibodeaux, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
May 18, 2007
Last Updated
Mar 30, 2010

Practice Location

Address
7 WESTOWNE
ZIP Code
66068
Phone
(816) 407-1754

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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