Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JERRY PAUL BOUDREAUX, L C S W
ActiveClinical Social Worker · GULFPORT, MS
Registration Details
- NPI Number
- 1366515702
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 15, 2006 (19.462434638864 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0058 (MS)
Practice Information
- Address
-
549 E PASS RDSUITE PGULFPORT, MS, 395073261Browse MS providers · Browse ZIP 39507
- Phone
- 2288969251
- Fax
- 2288976003
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in GULFPORT, MS
| Name | Credential | NPI |
|---|---|---|
| MRS. JOCELYN GAVIN-LANE | LCSW | 1033158936 |
| MS. KIMILA R. DEFLANDERS | LCSW | 1194767889 |
| MR. JASON KYLE MADIGAN | LCSW | 1376587915 |
| MRS. JEANNINE MICHELLE FINLEY | B.S | 1982620258 |
| JOAN S WALDROUP | LCSW | 1457365447 |
| MS. SANDRA CHERYL HALL | LCSW | 1528072048 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.