Individual
MRS. TEMPEST JANE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4640 SOUTH CARROLLTON AVE, NEW ORLEANS, LA 70116
(504) 943-1857
Mailing address
PO BOX 1606, PATTERSON, LA 70392-1606
(985) 221-1287
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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