Individual
JAKE GUIDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LMSW
Contact information
Practice address
10473 OLD HAMMOND HWY, BATON ROUGE, LA 70816-8264
(225) 900-8940
(855) 532-9362
Mailing address
9042 KILT PLACE AVE, BATON ROUGE, LA 70808-8158
(225) 394-4662
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15992
LA
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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