TANISHA LEJON CLARK

KENNER, LA
NPI1952691859
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: LA  11240)
Enumeration Date2011-04-12
Last Update Date2021-04-26
Business Address
TANISHA LEJON CLARK
4134 FLORIDA AVE STE 203
KENNER, LA 70065-2190
Phone number: 504-356-8660
Mailing Address
TANISHA LEJON CLARK
4134 FLORIDA AVE
KENNER, LA 70065-2190
Phone number: 504-356-8660