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1649311549
JAQUITA GWYNN JORDAN
LEESVILLE, LA
NPI
1649311549
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA 3044)
Enumeration Date
2007-02-12
Last Update Date
2011-08-04
Business Address
Ms. JAQUITA GWYNN JORDAN M.A., L.P.C.
300 S 4TH ST
LEESVILLE, LA 71446-4318
Phone number: 337-424-7406
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Mailing Address
Ms. JAQUITA GWYNN JORDAN M.A., L.P.C.
PO BOX 431
NEW LLANO, LA 71461-0431
Phone number: 337-424-7406
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