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Individual

MR. IRA JEWITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.A.

Contact information

Practice address
3084 WESTFORK DR, BATON ROUGE, LA 70816-2254
(225) 296-6083
(225) 296-6082
Mailing address
3084 WESTFORK DR, BATON ROUGE, LA 70816-2254
(225) 296-6083
(225) 296-6082

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
03/31/2016
Last updated
11/21/2016
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