Individual
JENNIFER HADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
112 E CAROLINA AVE STE D, RUSTON, LA 71270-3898
(985) 502-3736
Mailing address
104 TOWER RD, PONCHATOULA, LA 70454-3918
(985) 502-3736
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12919
LA
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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