Thibodeaux, Mary Juanita

Thibodeaux, Mary Juanita is an sole proprietor health care provider with primary practice located at 7 Westowne , Liberty MO 66068. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Thibodeaux, Mary Juanita can be contacted via phone (816) 407-1754.

Contact Information

Primary practice address
7 Westowne Liberty MO 66068
Phone: (816) 407-1754
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2002024986 Missouri

Profile Details

NPI number 1801004510
LBN Legal business name Thibodeaux, Mary Juanita
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2007
Last updated Mar 30th, 2010 - about 16 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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