Organization
JAMIE CLARK LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMIE S CLARK LCSW (MANAGING MEMBER)
(225) 413-3922
Entity
Organization
Contact information
Practice address
13414 HOOPER RD # D, BATON ROUGE, LA 70818-2909
(225) 413-3922
(225) 612-6551
Mailing address
13414 HOOPER RD # D, BATON ROUGE, LA 70818-2909
(225) 413-3922
(225) 612-6551
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
8738
LA
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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