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1740742956
ASHLEY BRE'ANN JACOBS
RUSTON, LA
NPI
1740742956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2019-04-05
Last Update Date
2022-02-28
Business Address
ASHLEY BRE'ANN JACOBS
609 S VIENNA ST
RUSTON, LA 71270-5038
Phone number: 318-455-1163
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Mailing Address
ASHLEY BRE'ANN JACOBS
1000 CHINABERRY DR STE 903
BOSSIER CITY, LA 71111-2455
Phone number: 318-459-6795
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