Individual
MS. TIFFANI JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RSW
Contact information
Practice address
714 3RD ST, NATCHITOCHES, LA 71457-4602
(318) 238-8801
(318) 238-8803
Mailing address
605 ELVIRA DR, NATCHITOCHES, LA 71457-3666
(985) 750-6839
(318) 238-8801
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7104
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
LA
Enumeration date
10/18/2017
Last updated
12/27/2024
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