Individual
ANN LYONS JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3170 CHURCH STREET, SLAUGHTER, LA 70777-0000
(225) 683-5292
(225) 683-3411
Mailing address
PO BOX 395, CLINTON, LA 70722-0395
(225) 683-5292
(225) 683-3411
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6465
LA
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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