Individual
DAREON BODDEN-JEFFRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8803 FIG ST, NEW ORLEANS, LA 70118-2308
(504) 428-8316
Mailing address
8803 FIG ST, NEW ORLEANS, LA 70118-2308
(504) 428-8316
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
011363579
LA
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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