Individual
JESSICA FOREMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3821 WILLIAMS PL, JEFFERSON, LA 70121-1623
(504) 495-1247
(504) 762-5636
Mailing address
3821 WILLIAMS PL, JEFFERSON, LA 70121-1623
(504) 495-1247
(504) 762-5636
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6203
LA
Other
Enumeration date
02/26/2016
Last updated
02/26/2016
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