GWENDOLYN SANDRA JACKSON

BATON ROUGE, LA
NPI1417244286
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: LA  3189)
Enumeration Date2011-06-30
Last Update Date2011-06-30
Business Address
Ms. GWENDOLYN SANDRA JACKSON L.C.S.W.
2514 GATES CIR APT 12
BATON ROUGE, LA 70809-1017
Phone number: 225-205-1581
Mailing Address
Ms. GWENDOLYN SANDRA JACKSON L.C.S.W.
PO BOX 538
BAKER, LA 70704-0538
Phone number: 225-205-1581