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1417264169
JESSICA LANDRY FULTZ
MARKSVILLE, LA
NPI
1417264169
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 11307)
Enumeration Date
2010-09-01
Last Update Date
2014-10-02
Business Address
-- JESSICA LANDRY FULTZ LCSW
221 N MONROE ST SUITE B
MARKSVILLE, LA 71351-2311
Phone number: 318-305-9210
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Mailing Address
-- JESSICA LANDRY FULTZ LCSW
PO BOX 65
HESSMER, LA 71341-0065
Phone number: 318-305-9210
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