ANGEL HEART JACKSON

LAFAYETTE, LA
NPI1245106228
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: LA  17884)
Enumeration Date2025-10-15
Last Update Date2025-10-15
Business Address
ANGEL HEART JACKSON LMSW
111 MEDICAL PARK DR
LAFAYETTE, LA 70508-4500
Phone number: 337-269-5000
Mailing Address
ANGEL HEART JACKSON LMSW
111 MEDICAL PARK DR
LAFAYETTE, LA 70508-4500
Phone number: 337-269-5000