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1770028425
MARCUS JACKSON
NEW ORLEANS, LA
NPI
1770028425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-01-04
Last Update Date
2018-06-01
Business Address
Mr. MARCUS JACKSON
2313 ALMONASTER AVE
NEW ORLEANS, LA 70117
Phone number: 504-330-6781
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Mailing Address
Mr. MARCUS JACKSON
2313 ALMONASTER AVE
NEW ORLEANS, LA 70117-7401
Phone number: 504-330-6781
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