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1326582263
DANA JACKSON
SHREVEPORT, LA
NPI
1326582263
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2016-12-12
Last Update Date
2016-12-12
Business Address
Mrs. DANA JACKSON
2425 YOUREE DRIVE
SHREVEPORT, LA 71104
Phone number: 318-743-3408
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Mailing Address
Mrs. DANA JACKSON
6233 TRAILWOOD TER
SHREVEPORT, LA 71119-7232
Phone number: 318-584-2488
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