Organization
GAIL JACKSON-WOLFE LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL JACKSON-WOLFE LCSW (PRESIDENT)
(985) 637-0411
Entity
Organization
Contact information
Practice address
1386 W TUNNEL BLVD, HOUMA, LA 70360-2731
(985) 872-4553
(985) 872-1803
Mailing address
3349 N UNIVERSITY DR, SUITE 4, HOLLYWOOD, FL 33024-9000
(954) 885-9500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5905
LA
Other
Enumeration date
07/18/2012
Last updated
07/31/2012
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