Individual
MS. JACKIE DANIEL PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2640 CANAL ST, NEW ORLEANS, LA 70119-6446
(504) 821-2232
Mailing address
2640 CANAL ST, NEW ORLEANS, LA 70119-6446
(504) 821-2232
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1849
LA
Other
Enumeration date
04/04/2018
Last updated
12/11/2019
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