Individual
JANDEL MARY CRUTCHFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4910 PINEHILL DR, BATON ROUGE, LA 70817-2368
(225) 206-1072
Mailing address
PO BOX 87466, BATON ROUGE, LA 70879-8466
(225) 206-1072
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10114
LA
251S00000X
Community/Behavioral Health Agency
10114
LA
Other
Enumeration date
08/03/2010
Last updated
12/14/2010
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