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1376913111
AMANDA MARIE JACKSON
BOSSIER CITY, LA
NPI
1376913111
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Former Name
AMANDA MAIRE SELLARS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-10-06
Last Update Date
2015-10-06
Business Address
Mrs. AMANDA MARIE JACKSON
1504 BARKSDALE BLVD
BOSSIER CITY, LA 71111-4602
Phone number: 318-222-4299
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Mailing Address
Mrs. AMANDA MARIE JACKSON
1504 BARKSDALE BLVD
BOSSIER CITY, LA 71111-4602
Phone number: 318-222-4299
Copy
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