Individual
JAMARA CELISTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
312 CORONADO DR, LULING, LA 70070-2216
(504) 491-7659
Mailing address
312 CORONADO DR, LULING, LA 70070-2216
(504) 491-7659
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
LA
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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