Organization
JENNIFER R. VINES LCSW INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ROGERS VINES LCSW (OWNER)
(337) 235-5088
Entity
Organization
Contact information
Practice address
614 W SAINT MARY BLVD, LAFAYETTE, LA 70506-3538
(337) 235-5088
Mailing address
614 W SAINT MARY BLVD, LAFAYETTE, LA 70506-3538
(337) 235-5088
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3064
LA
Other
Enumeration date
11/27/2007
Last updated
07/17/2024
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