DOMIQUE JACKSON

NEW ORLEANS, LA
NPI1437694361
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-01-02
Last Update Date2017-01-02
Business Address
-- DOMIQUE JACKSON
4480 GENERAL DE GAULLE DR ATE 210
NEW ORLEANS, LA 70131-6941
Phone number: 504-648-6758
Mailing Address
-- DOMIQUE JACKSON
4480 GENERAL DE GAULLE DR ATE 210
NEW ORLEANS, LA 70131-6941
Phone number: 504-648-6758
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