TRACIE DENEICE JACKSON

SHREVEPORT, LA
NPI1518997196
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: LA  3384)
Enumeration Date2006-07-03
Last Update Date2007-07-08
Business Address
Ms. TRACIE DENEICE JACKSON MA, PC2
6005 FINANCIAL PLZ
SHREVEPORT, LA 71129-2615
Phone number: 318-632-2040
Mailing Address
Ms. TRACIE DENEICE JACKSON MA, PC2
6005 FINANCIAL PLZ
SHREVEPORT, LA 71129-2615
Phone number: 318-632-2040
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