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Individual

MRS. DANIELLE JENKINS JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4202 N. I-10 SERVICE RD W., METAIRIE, LA 70006
(877) 418-2978
(866) 500-2186
Mailing address
525 HIGHWAY 306, PARADIS, LA 70080-2617
(504) 931-0190

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
LA

Other

Enumeration date
01/10/2024
Last updated
01/10/2024
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