SHALYSE A JACKSON

MONROE, LA
NPI1831965177
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-11-28
Last Update Date2023-11-28
Business Address
SHALYSE A JACKSON
2101 TOWER DR
MONROE, LA 71201-5045
Phone number: 318-323-1300
Mailing Address
SHALYSE A JACKSON
2101 TOWER DR
MONROE, LA 71201-5045
Phone number: 318-323-1300
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