Individual
JERWANNA COLLIER CLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1180 HIGHWAY 51 STE A, PONCHATOULA, LA 70454-6365
(985) 467-0730
(985) 467-0674
Mailing address
PO BOX 1272, PONCHATOULA, LA 70454-1272
(985) 467-0730
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11298
LA
Other
Enumeration date
04/29/2016
Last updated
01/20/2022
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