FREDRICK JACKSON

BOSSIER CITY, LA
NPI1528433505
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2015-12-02
Last Update Date2015-12-02
Business Address
-- FREDRICK JACKSON
3018 OLD MINDEN RD STE 1117
BOSSIER CITY, LA 71112-2497
Phone number: 318-746-1935
Mailing Address
-- FREDRICK JACKSON
3018 OLD MINDEN RD STE 1117
BOSSIER CITY, LA 71112-2497
Phone number: 318-746-1935
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