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1801260351
GLENISHA JACKSON
MARRERO, LA
NPI
1801260351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2015-11-20
Last Update Date
2015-11-20
Business Address
-- GLENISHA JACKSON
4700 WISHERS DRIVE
MARRERO, LA 70072
Phone number: 504-407-0709
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Mailing Address
-- GLENISHA JACKSON
1406 ESPLANADE AVE
NEW ORLEANS, LA 70116-1803
Phone number: 504-304-4097
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