Individual
JACQUELINE BARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11616 SOUTHFORK AVE STE 402, BATON ROUGE, LA 70816-5241
(225) 291-9718
Mailing address
12524 FAIRHAVEN DR, BATON ROUGE, LA 70815-6814
(817) 264-6201
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/06/2022
Last updated
04/07/2022
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