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Individual

MAURICE RASHAD JEFFERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
10001 LAKE FOREST BLVD, SUITE 404, NEW ORLEANS, LA 70127-6200
(504) 821-5220
Mailing address
2132 ROBERT ST, NEW ORLEANS, LA 70115-5636
(504) 239-6972

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
11/02/2015
Last updated
11/02/2015
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