LATRISHIA GANT JACKSON

SHREVEPORT, LA
NPI1548760952
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-02-13
Last Update Date2018-02-13
Business Address
LATRISHIA GANT JACKSON
543 STONER AVE
SHREVEPORT, LA 71101-4122
Phone number: 318-673-9901
Mailing Address
LATRISHIA GANT JACKSON
543 STONER AVE
SHREVEPORT, LA 71101-4122
Phone number: 318-673-9901
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