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Contact Information

FATONIA BEAUDOIN
3018 OLD MINDEN RD STE 1117
BOSSIER CITY, LA71112
 Phone: 318-746-1935
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for FATONIA BEAUDOIN · (Female)

NPI Number 1174069652
Status Active
Credentials
Entity Individual
Enumeration date 01/09/2017
Last updated 04/09/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • LA License # 17521
  • LA Medicaid 2160699
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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