Individual
LAURA JAEN GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS
Contact information
Practice address
501 MANHATTAN BLVD, HARVEY, LA 70058-4443
(504) 644-0812
Mailing address
821 HONEYSUCKLE ST, GRETNA, LA 70056-5221
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
15991
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1701033
—
LA
Enumeration date
08/01/2019
Last updated
08/31/2022
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