KEATHA JACKSON

CLINTON, LA
NPI1629456496
Former NameKETHA FRANKLIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: LA  9337)
Additional Taxonomies104100000X Social Worker
(Licence: LA  9337)
Enumeration Date2015-05-13
Last Update Date2018-09-18
Business Address
KEATHA JACKSON LCSW
11990 JACKSON ST
CLINTON, LA 70722-3210
Phone number: 225-683-5292
Mailing Address
KEATHA JACKSON LCSW
25733 BLACKWELL RD
ANGIE, LA 70426-4017
Phone number: