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1265972095
JAN WHITAKER-GATEWOOD
BATON ROUGE, LA
NPI
1265972095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: LA 5379)
Enumeration Date
2017-02-27
Last Update Date
2023-04-19
Business Address
JAN WHITAKER-GATEWOOD LMSW
2455 WOODDALE BLVD
BATON ROUGE, LA 70805-7569
Phone number: 225-922-3169
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Mailing Address
JAN WHITAKER-GATEWOOD LMSW
PO BOX 18242
SHREVEPORT, LA 71138-1242
Phone number: 318-518-4996
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