Individual
JACQULINE NWUFOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1610 JACKSON ST, MONROE, LA 71202-2030
(318) 512-2857
(318) 324-9647
Mailing address
2209 ALBERT ST, MONROE, LA 71201-5003
(318) 512-2857
(318) 324-9647
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
LA
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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