Individual
JENNIFER QUILLIN ANDRUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1016 CALAIS CIR, ALEXANDRIA, LA 71303-2307
(318) 442-7355
Mailing address
1016 CALAIS CIR, ALEXANDRIA, LA 71303-2307
(318) 442-7355
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11320
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11320
LICENSE NUMBER
LA
01
—
11320
LICENSE NUMBER
—
Enumeration date
07/06/2016
Last updated
07/07/2016
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