Individual
MS. JACOSTA CHANTRELL PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2621 RUE JESANN, MARRERO, LA 70072-6341
(504) 905-8100
Mailing address
2621 RUE JESANN, MARRERO, LA 70072-6341
(504) 905-8100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11792
LA
Other
Enumeration date
05/16/2012
Last updated
06/28/2018
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