Individual
KENNEDY MAKENZIE JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
4201 N I 10 SERVICE RD W, METAIRIE, LA 70006-6713
(877) 418-2978
Mailing address
4107 HAMILTON ST, NEW ORLEANS, LA 70118-2503
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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