Individual
JEAN HENNESSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2905 CUBA BLVD, MONROE, LA 71201-2054
(318) 732-1503
Mailing address
2905 CUBA BLVD, MONROE, LA 71201-2054
(318) 732-1503
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/30/2007
Last updated
07/28/2020
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