JAKE BLANTON

THIBODAUX, LA
NPI1841170214
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: LA  18759)
Enumeration Date2025-09-05
Last Update Date2025-10-27
Business Address
JAKE BLANTON LMSW
1418 TIGER DR
THIBODAUX, LA 70301-4337
Phone number: 985-449-4055
Mailing Address
JAKE BLANTON LMSW
1418 TIGER DR
THIBODAUX, LA 70301-4337
Phone number: 985-449-4055
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