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1346763463
AUDREA KELLAR JACKSON
BATON ROUGE, LA
NPI
1346763463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-07-20
Last Update Date
2022-07-21
Business Address
AUDREA KELLAR JACKSON
3888 S SHERWOOD FOREST BLVD STE F
BATON ROUGE, LA 70816
Phone number: 225-771-8251
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Mailing Address
AUDREA KELLAR JACKSON
3888 S SHERWOOD FOREST BLVD STE F
BATON ROUGE, LA 70816-4400
Phone number: 225-771-8251
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