Individual
JACQUI DIMETRICE WARRINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 GRIGIO LOOP, LA PLACE, LA 70068-6496
(504) 327-1462
Mailing address
23 GRIGIO LOOP, LA PLACE, LA 70068-6496
(504) 327-1462
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13620
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/05/2017
Last updated
10/05/2018
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