Individual
JENNY PREJEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1211 COOLIDGE BLVD, STE 100, LAFAYETTE, LA 70503-2636
(337) 289-8400
(337) 289-8401
Mailing address
PO BOX 62600, DEPT 1721, NEW ORLEANS, LA 70162-2600
(337) 706-1605
(337) 981-9257
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4532
LA
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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