Individual
JESSICA VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1058 E WORTHY ST STE B-2, GONZALES, LA 70737-4359
(337) 288-0906
Mailing address
1058 E WORTHY ST STE B-2, GONZALES, LA 70737-4359
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
18659
LA
Other
Enumeration date
03/11/2025
Last updated
03/12/2025
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