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1114484151
MEGAN JACKSON
SHREVEPORT, LA
NPI
1114484151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2019-02-26
Last Update Date
2021-05-13
Business Address
Ms. MEGAN JACKSON
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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Mailing Address
Ms. MEGAN JACKSON
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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