Individual
JAYME LILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
850 KALISTE SALOOM RD STE 116, LAFAYETTE, LA 70508-4230
(337) 247-4370
Mailing address
502 WOODVALE AVE, LAFAYETTE, LA 70503-3436
(337) 247-4379
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12850
LA
Other
Enumeration date
08/27/2019
Last updated
08/16/2022
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