JARVIS GERARD SHANKLIN

RACELAND, LA
NPI1093094617
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: LA  6014)
Enumeration Date2011-08-13
Last Update Date2015-01-06
Business Address
-- JARVIS GERARD SHANKLIN LCSW
3135 HIGHWAY 1
RACELAND, LA 70394-3652
Phone number: 985-413-2280
Mailing Address
-- JARVIS GERARD SHANKLIN LCSW
PO BOX 5022
THIBODAUX, LA 70302-5022
Phone number: 985-413-2280
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