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1427410307
JACKIE TUCKER
BATON ROUGE, LA
NPI
1427410307
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Professional Name
JACKIE HENRY TUCKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2016-03-22
Last Update Date
2016-03-22
Business Address
Mrs. JACKIE TUCKER
3023 SARATOGA DR
BATON ROUGE, LA 70808-3464
Phone number: 225-405-4732
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Mailing Address
Mrs. JACKIE TUCKER
3023 SARATOGA DR
BATON ROUGE, LA 70808-3464
Phone number: 225-405-4732
Copy
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