Individual
KAI'DARYIA D JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RSW
Contact information
Practice address
701 EE WALLACE BLVD N, FERRIDAY, LA 71334-2209
(318) 452-4338
(318) 437-7096
Mailing address
701 EE WALLACE BLVD N, FERRIDAY, LA 71334-2209
(318) 452-4338
(318) 437-7096
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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