Individual
COURTNEY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12097 OLD HAMMOND HWY STE I4, BATON ROUGE, LA 70816-8679
(225) 328-0826
Mailing address
12097 OLD HAMMOND HWY STE I4, BATON ROUGE, LA 70816-8679
(225) 328-0826
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15804
LA
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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