JENITA BLUE

BOSSIER CITY, LA
NPI1780245498
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: LA  15403)
Additional Taxonomies104100000X Social Worker
(Licence: LA  15403)
171M00000X Case Manager/Care Coordinator
Enumeration Date2019-06-24
Last Update Date2023-06-30
Business Address
JENITA BLUE
1000 CHINABERRY DR STE 900
BOSSIER CITY, LA 71111-2455
Phone number: 318-459-6579
Mailing Address
JENITA BLUE
4830 LINE AVE # 5764
SHREVEPORT, LA 71106-1530
Phone number: