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1063936250
DORIS JEAN JEFFERSON
VIDALIA, LA
NPI
1063936250
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-07-28
Last Update Date
2022-07-21
Business Address
DORIS JEAN JEFFERSON
204 AIRPORT RD
VIDALIA, LA 71373-3449
Phone number: 318-323-1300
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Mailing Address
DORIS JEAN JEFFERSON
204 AIRPORT RD
VIDALIA, LA 71373-3449
Phone number: 318-323-1300
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