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Individual

JERDINE ROBINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
2105 VENUS DR, BOSSIER CITY, LA 71112-4425
(318) 272-2680
(318) 675-0226
Mailing address
2105 VENUS DR, BOSSIER CITY, LA 71112-4425
(318) 272-2680
(318) 675-0226

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
1041S0200X
School Social Worker
Primary
MSW 9924
LA

Other

Enumeration date
10/06/2015
Last updated
10/06/2015
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