PORSHA MARIE JACKSON

MONROE, LA
NPI1144786211
Former NamePORSHA MARIE KENNEDY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: LA  15200)
Enumeration Date2019-02-14
Last Update Date2019-02-14
Business Address
Mrs. PORSHA MARIE JACKSON RSW
1204 STUBBS AVE STE B
MONROE, LA 71201-5631
Phone number: 318-582-5633
Mailing Address
Mrs. PORSHA MARIE JACKSON RSW
502 E COLORADO AVE
RUSTON, LA 71270-4512
Phone number: 318-533-0741
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