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1174998272
DANNISHA JACKSON
SHREVEPORT, LA
NPI
1174998272
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-12-01
Last Update Date
2018-08-01
Business Address
DANNISHA JACKSON MHS
404 HEARNE AVE
SHREVEPORT, LA 71103
Phone number: 318-716-1369
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Mailing Address
DANNISHA JACKSON MHS
404 HEARNE AVE
SHREVEPORT, LA 71103-2022
Phone number: 318-716-1369
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