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Keatha Jackson, LCSW
NPI 1629456496 · on the registry since 2015
Practice
- Address
- 11990 Jackson St
Clinton, LA 70722 - Phone
- (225) 683-5292
- Fax
- (225) 683-3411
- Organisation at this address
- Primary Care Providers For A Healthy Feliciana Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 107
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Also registered as
- Social Worker
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-09-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana