Individual
DANE JEFFERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1995 GENTILLY BLVD, NEW ORLEANS, LA 70119-1700
(504) 944-0453
Mailing address
1995 GENTILLY BLVD, NEW ORLEANS, LA 70119-1700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
17289
LA
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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