Individual
JAZIA THORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 VILLAGE ST STE A, SLIDELL, LA 70458-5302
(337) 277-6662
Mailing address
8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
01/24/2020
Last updated
01/18/2024
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