LA'TRAVIA JACKSON

SHREVEPORT, LA
NPI1548792674
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: LA  PLC10051)
Enumeration Date2017-03-29
Last Update Date2024-06-10
Business Address
LA'TRAVIA JACKSON
2920 KNIGHT ST STE 155
SHREVEPORT, LA 71105-2412
Phone number: 318-213-1887
Mailing Address
LA'TRAVIA JACKSON
2920 KNIGHT ST STE 155
SHREVEPORT, LA 71105-2412
Phone number: 318-213-1887
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