Individual
JEVONNA LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 WILLIAMS BLVD, KENNER, LA 70062-8211
(504) 575-4662
(504) 305-0983
Mailing address
1800 WILLIAMS BLVD, KENNER, LA 70062-8211
(504) 575-4662
(504) 305-0983
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012491
—
LA
Enumeration date
12/26/2018
Last updated
12/26/2018
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