CLARKE JACKSON

SHREVEPORT, LA
NPI1518487149
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2017-06-24
Last Update Date2022-07-21
Business Address
CLARKE JACKSON
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
Mailing Address
CLARKE JACKSON
1933 HICKORY ST
SHREVEPORT, LA 71108-3307
Phone number: 318-560-3424
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