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1033665666
PHYLLIS JACKSON
BATON ROUGE, LA
NPI
1033665666
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2016-09-01
Last Update Date
2016-11-10
Business Address
PHYLLIS JACKSON
411 COLONIAL DR
BATON ROUGE, LA 70806-6506
Phone number: 225-926-9706
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Mailing Address
PHYLLIS JACKSON
411 COLONIAL DR
BATON ROUGE, LA 70806-6506
Phone number: 225-926-9706
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