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1891206116
RICHARD WARREN JACKSON
BATON ROUGE, LA
NPI
1891206116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 13630)
Enumeration Date
2017-10-13
Last Update Date
2023-03-19
Business Address
Mr. RICHARD WARREN JACKSON LCSW-BACS, LAC, CCGC
7732 GOODWOOD BLVD STE 102
BATON ROUGE, LA 70806-7680
Phone number: 504-517-6390
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Mailing Address
Mr. RICHARD WARREN JACKSON LCSW-BACS, LAC, CCGC
7732 GOODWOOD BLVD STE 102
BATON ROUGE, LA 70806-7680
Phone number: 504-517-6390
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