JEROME HOLLAND

LAKE CHARLES, LA
NPI1174662928
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: LA  6756)
Enumeration Date2007-02-06
Last Update Date2007-07-08
Business Address
Mr. JEROME HOLLAND G.S.W.
4105 KIRKMAN ST
LAKE CHARLES, LA 70607-4603
Phone number: 337-475-8022
Mailing Address
Mr. JEROME HOLLAND G.S.W.
1723 N TALLOWOOD DR
LAKE CHARLES, LA 70605-6409
Phone number: 504-638-1086
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