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1043647704
JENA LEIGH OURSO
BATON ROUGE, LA
NPI
1043647704
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 12453)
Enumeration Date
2013-09-26
Last Update Date
2019-10-28
Business Address
JENA LEIGH OURSO LCSW
3801 NORTH BLVD
BATON ROUGE, LA 70806
Phone number: 256-655-6422
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Mailing Address
JENA LEIGH OURSO LCSW
3801 NORTH BLVD
BATON ROUGE, LA 70806-3825
Phone number: 256-655-6422
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