| Jamie Clark Lcsw Llc | |
|
13414 Hooper Rd # D Baton Rouge LA 70818-2909 | |
| (225) 413-3922 | |
| (225) 612-6551 |
| Full Name | Jamie Clark Lcsw Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 13414 Hooper Rd # D, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Jamie S Clark (MANAGING MEMBER) |
| Authorized Official Contact | 2254133922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie Clark Lcsw Llc 13414 Hooper Rd # D Baton Rouge LA 70818-2909 Ph: (225) 413-3922 | Jamie Clark Lcsw Llc 13414 Hooper Rd # D Baton Rouge LA 70818-2909 Ph: (225) 413-3922 |
| NPI Number | 1407133721 |
|---|---|
| Provider Enumeration Date | 11/15/2011 |
| Last Update Date | 11/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407133721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 8738 (Louisiana) | Primary |
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