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1932937224
TRALAIS R JACKSON-TILLMAN
SHREVEPORT, LA
NPI
1932937224
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-07-26
Last Update Date
2024-07-26
Business Address
TRALAIS R JACKSON-TILLMAN
2800 YOUREE DR STE 301
SHREVEPORT, LA 71104-3660
Phone number: 318-210-0928
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Mailing Address
TRALAIS R JACKSON-TILLMAN
2800 YOUREE DRRIVE #301
SHREVEPORT, LA 71104
Phone number: 318-210-0928
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