Individual
JADE RECASNER CHAMPAGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9004 PRITCHARD PL, NEW ORLEANS, LA 70118-2335
(504) 513-1108
Mailing address
9004 PRITCHARD PL, NEW ORLEANS, LA 70118-2335
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13536
LA
Other
Enumeration date
11/19/2016
Last updated
11/19/2016
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