Individual
DANIELLE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2088 CARVER DR, MARRERO, LA 70072
(504) 496-1154
Mailing address
2088 CARVER DR, MARRERO, LA 70072-4616
(504) 496-1154
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/30/2016
Last updated
07/30/2018
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