Individual
MS. DEMECIA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED
Contact information
Practice address
723 POINT ST, HOUMA, LA 70360-4744
(985) 851-4488
Mailing address
723 POINT ST, HOUMA, LA 70360-4744
(985) 851-4488
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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