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1396309399
AVIS JACKSON
NATCHITOCHES, LA
NPI
1396309399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 11061)
Enumeration Date
2019-04-24
Last Update Date
2019-04-24
Business Address
AVIS JACKSON
714 OAKLAND DR
NATCHITOCHES, LA 71457-5626
Phone number: 318-228-5396
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Mailing Address
AVIS JACKSON
714 OAKLAND DR
NATCHITOCHES, LA 71457-5626
Phone number: 318-228-5396
Copy
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