Individual
JENNEFER T PORTERFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3825 GILBERT DR STE 157, SHREVEPORT, LA 71104-5052
(318) 422-4929
Mailing address
3521 MADISON PARK BLVD, SHREVEPORT, LA 71104
(318) 422-4929
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9372
LA
Other
Enumeration date
09/26/2007
Last updated
01/25/2010
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