Individual
MRS. JENNIFER BONAVENTURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7784 INNOVATION PARK DR, BATON ROUGE, LA 70820-7006
(225) 343-4232
(225) 343-4233
Mailing address
7784 INNOVATION PARK DR, BATON ROUGE, LA 70820-7006
(225) 343-4232
(225) 343-4233
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11047
LA
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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