Gautreaux, Wesley Allen
Gautreaux, Wesley Allen is an individual health care provider with primary practice located at 1500 N Westwood Blvd , Poplar Bluff MO 63901-3318. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Gautreaux, Wesley Allen can be contacted via phone (573) 686-4151.Contact Information
Primary practice address
1500 N Westwood Blvd
Poplar Bluff MO 63901-3318
Phone: (573) 686-4151
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 8301-C | Arkansas |
Profile Details
| NPI number | 1356761092 |
|---|---|
| LBN Legal business name | Gautreaux, Wesley Allen |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2014 |
| Last updated | Dec 16th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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