Individual
TONJA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-BACS
Contact information
Practice address
908 W JUDGE PEREZ DR, SUITE D, CHALMETTE, LA 70043-4773
(504) 453-7698
Mailing address
3204 OAK DR, VIOLET, LA 70092-3734
(504) 261-5211
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4487
LA
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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