Individual
JENNIFER GAYLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
542 COLUMBIA ST, BOGALUSA, LA 70427-4720
(985) 735-9448
Mailing address
542 COLUMBIA ST, BOGALUSA, LA 70427-4720
(985) 735-9448
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10477
LA
1041C0700X
Clinical Social Worker
Primary
10477
LA
171M00000X
Case Manager/Care Coordinator
10477
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3664364
—
LA
Enumeration date
08/22/2018
Last updated
02/11/2025
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