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1861989576
DESIREE JACKSON
WEST MONROE, LA
NPI
1861989576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-04-18
Last Update Date
2018-04-18
Business Address
DESIREE JACKSON
906 W OLIVE ST APT 31
WEST MONROE, LA 71292-6400
Phone number: 318-348-8754
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Mailing Address
DESIREE JACKSON
906 W OLIVE ST APT 31
WEST MONROE, LA 71292-6400
Phone number: 318-348-8754
Copy
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