Most Relevant Information
Provider Data
| NPI Number: | 1003540170 |
| Provider Name: | JACQUELINE WOODS LCSW-BACS |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 11322 |
Most Important Dates
| Enumeration Date: | 07/13/2022 |
| Last Updated: | 07/13/2022 |
Provider Practice Location
10473 OLD HAMMOND HWY
BATON ROUGE
LA
708168264
Practice Location Phone/Fax
| Phone: | 2259241910 |
| Fax: |
Provider Mailing Location
10437 E GRONER AVE
BATON ROUGE
LA
708093912
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |