LATASHA BURKS-JACKSON

VICKSBURG, MS
NPI1477734606
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-11-15
Last Update Date2007-11-15
Business Address
-- LATASHA BURKS-JACKSON
3444 WISCONSIN AVE
VICKSBURG, MS 39180-5331
Phone number: 601-638-0031
Mailing Address
-- LATASHA BURKS-JACKSON
3444 WISCONSIN AVE
VICKSBURG, MS 39180-5331
Phone number: 601-638-0031
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