MONIQUE A THIBODEAUX JACKSON

BATON ROUGE, LA
NPI1750562310
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: LA  5237)
Enumeration Date2007-11-23
Last Update Date2011-07-21
Business Address
-- MONIQUE A THIBODEAUX JACKSON MSW, LCSW
1418 BULLRUSH DR
BATON ROUGE, LA 70810-5222
Phone number: 225-603-4068
Mailing Address
-- MONIQUE A THIBODEAUX JACKSON MSW, LCSW
1418 BULLRUSH DR
BATON ROUGE, LA 70810-5222
Phone number: 225-603-4068