Individual
JILL ANNE BOUTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5105 CHAMBERLAIN DR, NEW ORLEANS, LA 70122-2527
(504) 610-2254
Mailing address
5105 CHAMBERLAIN DR, NEW ORLEANS, LA 70122-2527
(504) 610-2254
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10771
LA
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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