Individual
JESSICA SUE BOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
817 HARMONY ST, NEW ORLEANS, LA 70115-2312
(504) 407-5464
Mailing address
817 HARMONY ST, NEW ORLEANS, LA 70115-2312
(504) 407-5464
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
12633
LA
1041C0700X
Clinical Social Worker
Primary
C011033
NC
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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