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1053828566
DEAQUANITA SHEHALORENZA JACKSON
SHREVEPORT, LA
NPI
1053828566
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-01-05
Last Update Date
2018-01-05
Business Address
DEAQUANITA SHEHALORENZA JACKSON
2800 YOUREE DR STE 301
SHREVEPORT, LA 71104-3660
Phone number: 318-210-0928
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Mailing Address
DEAQUANITA SHEHALORENZA JACKSON
2800 YOUREE DR STE 301
SHREVEPORT, LA 71104-3660
Phone number: 318-210-0928
Copy
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