EBONY CONERLY JACKSON

DENHAM SPRINGS, LA
NPI1730564279
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: LA  9158)
Enumeration Date2015-07-27
Last Update Date2015-07-27
Business Address
-- EBONY CONERLY JACKSON LCSW, BACS
23791 SOUTHPOINT DR
DENHAM SPRINGS, LA 70726-6856
Phone number: 225-284-6249
Mailing Address
-- EBONY CONERLY JACKSON LCSW, BACS
23791 SOUTHPOINT DR
DENHAM SPRINGS, LA 70726-6856
Phone number: 225-284-6249
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