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Individual
MRS. PORSHA MARIE JACKSON
Active
Individual
MRS. PORSHA MARIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15200
LA
171M00000X
Case Manager/Care Coordinator
Primary
15200
LA
Other
Enumeration date
02/14/2019
Last updated
08/12/2026
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