AMMERIA LENAE JACKSON

GAUTIER, MS
NPI1215356803
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2014-04-10
Last Update Date2014-04-10
Business Address
-- AMMERIA LENAE JACKSON B.S. Psychology
3407 SHAMROCK CT
GAUTIER, MS 39553-5337
Phone number: 228-497-0690
Mailing Address
-- AMMERIA LENAE JACKSON B.S. Psychology
3407 SHAMROCK CT
GAUTIER, MS 39553-5337
Phone number: 228-497-0690
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