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1063884682
VALERIE JACKSON
VIDALIA, LA
NPI
1063884682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-10-22
Last Update Date
2015-10-22
Business Address
-- VALERIE JACKSON
1644 CARTER ST SUITE 2
VIDALIA, LA 71373-3143
Phone number: 318-414-3065
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Mailing Address
-- VALERIE JACKSON
1644 CARTER ST SUITE 2
VIDALIA, LA 71373-3143
Phone number: 318-414-3065
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