# JACQUELINE LUTER CALLOWAY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1053813048
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | 9903 | LA | Yes |

## Other

- **Enumeration date:** 03/06/2018
- **Last updated:** 06/16/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 780830 | LOUISIANA STATE BOARD OF PRACTICAL NURSING | LA |
| 01 | — | 9903 | LOUISIANA STATE BOARD OF SOCIAL WORK | LA |