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1972009215
JACKIE DANIEL PORTER
NEW ORLEANS, LA
NPI
1972009215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 1849)
Enumeration Date
2018-04-04
Last Update Date
2019-12-11
Business Address
Ms. JACKIE DANIEL PORTER
2640 CANAL ST
NEW ORLEANS, LA 70119-6446
Phone number: 504-821-2232
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Mailing Address
Ms. JACKIE DANIEL PORTER
2640 CANAL ST
NEW ORLEANS, LA 70119-6446
Phone number: 504-821-2232
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