Individual
JAQUITA GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19411 HELENBIRG RD STE 102, COVINGTON, LA 70433-5199
(985) 888-1794
(985) 888-1795
Mailing address
2002 JAY ST, SLIDELL, LA 70460-6648
(757) 575-3517
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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