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1669988879
THAD JACKSON
BATON ROUGE, LA
NPI
1669988879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-12-26
Last Update Date
2018-06-16
Business Address
THAD JACKSON
449 BEN HUR RD APT 5106B
BATON ROUGE, LA 70820-4144
Phone number: 504-410-1976
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Mailing Address
THAD JACKSON
449 BEN HUR RD APT 5106B
BATON ROUGE, LA 70820-4144
Phone number: 504-410-1976
Copy
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