Individual
JESSICA LYNN BUCKALEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CIT
Contact information
Practice address
307 HAYES ST, RAYVILLE, LA 71269-2531
(318) 728-5488
Mailing address
119 DOPSON PL, WEST MONROE, LA 71291-7413
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
CIT-5532
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
08/28/2023
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