Individual
KAI ANGELINE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3604 CANAL ST, NEW ORLEANS, LA 70119-6111
(504) 822-4333
Mailing address
3604 CANAL ST, NEW ORLEANS, LA 70119-6111
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
—
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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