Individual
MRS. CYNTHIA BERNOUDY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
118 TERRY PKWY, TERRYTOWN, LA 70056-2523
(504) 368-7132
Mailing address
1613 LAKE SALVADOR DR, HARVEY, LA 70058-5151
(504) 368-3163
(504) 454-5067
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3375
LA
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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