Individual
MRS. JACQUELYN AGNES WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-BACS
Contact information
Practice address
2495 SHREVEPORT HWY 71 NORTH, ALEXANDRIA, LA 71306-9004
(318) 473-0010
Mailing address
PO BOX 6636, NEW ORLEANS, LA 70174-6636
(504) 427-1582
(504) 393-0558
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1154
LA
1041C0700X
Clinical Social Worker
1944C
LA
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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