ETHEL M JACKO

LAKE CHARLES, LA
NPI1841831633
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-10-02
Last Update Date2019-10-02
Business Address
ETHEL M JACKO
751 BAYOU PINES EAST DR STE C
LAKE CHARLES, LA 70601-7196
Phone number: 337-433-3292
Mailing Address
ETHEL M JACKO
751 BAYOU PINES EAST DR STE C
LAKE CHARLES, LA 70601-7196
Phone number: 337-433-3292
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