Individual
MISS JACQUEL DESHAWN BENION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
701 LOYOLA AVE., SUITE 106, NEW ORLEANS, LA 70113
(504) 558-9595
Mailing address
P.O. BOX 50140, NEW ORLEANS, LA 70150
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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