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1295891562
REGINALD JACKSON
NEW ORLEANS, LA
NPI
1295891562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA 4522)
Enumeration Date
2006-12-29
Last Update Date
2007-07-08
Business Address
-- REGINALD JACKSON SOCIAL WORKER
7425 EDWARD ST
NEW ORLEANS, LA 70126-2013
Phone number: 504-813-6258
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Mailing Address
-- REGINALD JACKSON SOCIAL WORKER
PO BOX 872382
NEW ORLEANS, LA 70187-2382
Phone number: 504-813-6258
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