Individual
KARA JACKSON ETIENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1602 ROYAL AVE, MONROE, LA 71201-5612
(318) 325-7723
Mailing address
1602 ROYAL AVE, MONROE, LA 71201-5612
(318) 325-7723
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10087
LA
171M00000X
Case Manager/Care Coordinator
Primary
10087
LA
Other
Enumeration date
10/16/2017
Last updated
05/23/2019
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