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1720720220
ALLISON NICHOLE JACKSON
LAKE CHARLES, LA
NPI
1720720220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2022-04-13
Last Update Date
2022-04-13
Business Address
ALLISON NICHOLE JACKSON LCSW
2903 1ST AVE
LAKE CHARLES, LA 70601-8897
Phone number: 337-478-6480
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Mailing Address
ALLISON NICHOLE JACKSON LCSW
2903 1ST AVE
LAKE CHARLES, LA 70601-8897
Phone number: 337-478-6480
Copy
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