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1548616121
HELEN JACKSON
LAKE PROVIDENCE, LA
NPI
1548616121
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-05-12
Last Update Date
2018-05-23
Business Address
HELEN JACKSON Master
1700 LAKE ST
LAKE PROVIDENCE, LA 71254
Phone number: 318-559-0551
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Mailing Address
HELEN JACKSON Master
1700 LAKE ST
LAKE PROVIDENCE, LA 71254-5208
Phone number: 318-559-0551
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