Individual
JENNIFER MARIE DIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36545 ALBIN RD, INDEPENDENCE, LA 70443-3910
(504) 322-0361
Mailing address
36545 ALBIN RD, INDEPENDENCE, LA 70443-3910
(504) 322-0361
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
006832838
LA
Other
Enumeration date
06/25/2026
Last updated
06/25/2026
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