Individual
MS. JACKIE R. BADON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
501 FORSHAG LN, AMITE, LA 70422-8122
(985) 748-8411
(866) 931-3991
Mailing address
501 FORSHAG LN, AMITE, LA 70422-8122
(985) 748-8411
(866) 931-3991
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1927
LA
Other
Enumeration date
03/25/2008
Last updated
11/14/2016
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