Individual
LEAH JASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6305 ELYSIAN FIELDS AVE # 301, NEW ORLEANS, LA 70122-4245
(504) 324-7332
Mailing address
6305 ELYSIAN FIELDS AVE # 301, NEW ORLEANS, LA 70122-4245
(504) 324-7332
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
465269101
—
LA
Enumeration date
06/14/2018
Last updated
06/16/2018
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