Provider Information for 1487305249
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JAIME M DARDA LCSW
Sex: Female
NPI: 1487305249
Last Updated: 2023-02-22
Certification Date: 2023-02-22
Certification Date: 2023-02-22
Details
| Name | Value | ||||||||
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| NPI | 1487305249 | ||||||||
| Enumeration Date | 2022-01-13 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 471 THIBODAUX, LA 70302-0471 United States Phone: 985-447-8181 | Fax: | ||||||||
| Primary Practice Address | 196 JOHNNY DUFRENE DR RACELAND, LA 70394-2609 United States Phone: 985-532-6112 | Fax: | ||||||||
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