Individual
MS. STACIA JEMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2588 OLD TOWNE DR, ZACHARY, LA 70791-2779
(225) 907-3961
Mailing address
2588 OLD TOWNE DR, ZACHARY, LA 70791-2779
(225) 907-3961
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8256
LA
Other
Enumeration date
11/14/2020
Last updated
05/02/2022
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