EBONY JACKSON

BATON ROUGE, LA
NPI1871022699
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101Y00000X Counselor
Enumeration Date2017-06-06
Last Update Date2022-07-21
Business Address
EBONY JACKSON
3084 WESTFORK DR STE C
BATON ROUGE, LA 70816-2254
Phone number: 225-296-6083
Mailing Address
EBONY JACKSON
3084 WESTFORK DR STE C
BATON ROUGE, LA 70816-2254
Phone number: 225-296-6083
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