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Individual

MRS. JENNIFER JANET MEDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
5001 WESTBANK EXPY, MARRERO, LA 70072-2922
(504) 371-0255
(504) 349-8768
Mailing address
5526 LOYOLA AVE, NEW ORLEANS, LA 70115-5013
(504) 349-8755
(504) 349-8768

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4351
LA

Other

Enumeration date
12/01/2006
Last updated
08/22/2014
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