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1417498692
JADA JACKSON
LAKE CHARLES, LA
NPI
1417498692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-03-20
Last Update Date
2017-03-20
Business Address
-- JADA JACKSON
1639 RYAN ST
LAKE CHARLES, LA 70601-5948
Phone number: 337-602-6391
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Mailing Address
-- JADA JACKSON
1639 RYAN ST
LAKE CHARLES, LA 70601-5948
Phone number: 337-602-6391
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