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Individual

CELESTE KEYS JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
202 RUE IBERVILLE, LAFAYETTE, LA 70508-3295
(318) 658-5269
Mailing address
202 RUE IBERVILLE, LAFAYETTE, LA 70508-3295

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
15808
LA
1041S0200X
School Social Worker
Primary
15808
LA

Other

Enumeration date
06/02/2025
Last updated
06/02/2025
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