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1417244286
GWENDOLYN SANDRA JACKSON
BATON ROUGE, LA
NPI
1417244286
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 3189)
Enumeration Date
2011-06-30
Last Update Date
2011-06-30
Business Address
Ms. GWENDOLYN SANDRA JACKSON L.C.S.W.
2514 GATES CIR APT 12
BATON ROUGE, LA 70809-1017
Phone number: 225-205-1581
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Mailing Address
Ms. GWENDOLYN SANDRA JACKSON L.C.S.W.
PO BOX 538
BAKER, LA 70704-0538
Phone number: 225-205-1581
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