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Individual

JACQUELINE MICHEL WHITMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
GSW

Contact information

Practice address
4502 HWY.10, JACKSON, LA 70748-0498
(225) 634-0224
(225) 634-0213
Mailing address
PO BOX 498, JACKSON, LA 70748-0498
(225) 634-0224
(225) 634-0213

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6729
LA

Other

Enumeration date
05/23/2007
Last updated
07/08/2007
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