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1194247437
STEPHANIE JACKSON
BOSSIER CITY, LA
NPI
1194247437
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-07-07
Last Update Date
2022-07-21
Business Address
STEPHANIE JACKSON
3018 OLD MINDEN RD STE 1117
BOSSIER CITY, LA 71112-2497
Phone number: 318-746-1935
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Mailing Address
STEPHANIE JACKSON
3018 OLD MINDEN RD STE 1117
BOSSIER CITY, LA 71112-2497
Phone number: 318-746-1935
Copy
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