FLORA A JACKSON

SHREVEPORT, LA
NPI1174039119
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2017-12-27
Last Update Date2021-07-01
Business Address
FLORA A JACKSON
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
Mailing Address
FLORA A JACKSON
4338 JOSEY CIR
SHREVEPORT, LA 71109-6614
Phone number:
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