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1093430555
GABRIELLE JACKSON
LA PLACE, LA
NPI
1093430555
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-10-06
Last Update Date
2022-10-06
Business Address
GABRIELLE JACKSON
3205 NEW HIGHWAY 51
LA PLACE, LA 70068-6513
Phone number: 985-652-1809
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Mailing Address
GABRIELLE JACKSON
3205 NEW HIGHWAY 51 STE C
LA PLACE, LA 70068-6512
Phone number:
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