Individual
ELYANIA F JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1727 HOLIDAY DR, NEW ORLEANS, LA 70114-3453
(504) 452-0881
Mailing address
1727 HOLIDAY DR, NEW ORLEANS, LA 70114-3453
(504) 452-0881
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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