Individual
JACQUELINE B PLAISANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1418 TIGER DR, THIBODAUX, LA 70301-4337
(985) 449-4055
(985) 449-4178
Mailing address
505 TRINITY DR, THIBODAUX, LA 70301-6928
(985) 637-5250
(985) 449-4178
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6771
LA
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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