Individual
ANN JACKSON BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2600 JOHNSTON ST, LAFAYETTE, LA 70503-3269
(337) 232-1234
Mailing address
2600 JOHNSTON ST, LAFAYETTE, LA 70503-3269
(337) 232-1234
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7752
LA
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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