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1609346881
TRINESE JACK
NEW ORLEANS, LA
NPI
1609346881
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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
2018-11-29
Last Update Date
2019-06-28
Business Address
TRINESE JACK
2714 CANAL ST STE 402
NEW ORLEANS, LA 70119-5559
Phone number: 504-304-6945
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Mailing Address
TRINESE JACK
1540 FLOOD ST
NEW ORLEANS, LA 70117-3335
Phone number: 504-606-0796
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