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1619205150
CHARNEL LAZETTE JACKSON
ZACHARY, LA
NPI
1619205150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: LA 3661)
Enumeration Date
2009-11-20
Last Update Date
2009-11-20
Business Address
Ms. CHARNEL LAZETTE JACKSON MA
4787 WAYWOOD DR #C
ZACHARY, LA 70791-2480
Phone number: 225-654-6321
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Mailing Address
Ms. CHARNEL LAZETTE JACKSON MA
6820 CELIA DR
BATON ROUGE, LA 70811-1133
Phone number: 225-235-6281
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