Individual
JACKIE MCWHERTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3405 MOSS ST, LAFAYETTE, LA 70507-6113
(337) 534-4401
Mailing address
3405 MOSS ST, LAFAYETTE, LA 70507-6113
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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