Individual
MISS BARBARA BERNICE JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
103 ASPHODEL ST, THIBODAUX, LA 70301-6472
(985) 414-4370
Mailing address
103 ASPHODEL ST, THIBODAUX, LA 70301-6472
(985) 414-4370
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5071
LA
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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