Individual
JENA LEIGH OURSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3801 NORTH BLVD, BATON ROUGE, LA 70806
(256) 655-6422
Mailing address
3801 NORTH BLVD, BATON ROUGE, LA 70806-3825
(256) 655-6422
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12453
LA
Other
Enumeration date
09/26/2013
Last updated
10/28/2019
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