Individual
MRS. JAMIE SARTWELL CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
GSW,LCSW
Contact information
Practice address
13414 HOOPER RD STE D, BATON ROUGE, LA 70818-2909
(225) 413-3922
Mailing address
15708 CHAUMONT AVE, GREENWELL SPRINGS, LA 70739-3830
(225) 262-6153
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8738
LA
Other
Enumeration date
08/30/2006
Last updated
04/14/2010
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