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1023564200
LORRAINE T. JACKSON
ATLANTA, GA
NPI
1023564200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2016-08-29
Last Update Date
2016-08-29
Business Address
-- LORRAINE T. JACKSON SLP/CCC
6600 PEACHTREE DUNWOODY RD BLDG. 400 STE 125
ATLANTA, GA 30328-6773
Phone number: 866-587-9922
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Mailing Address
-- LORRAINE T. JACKSON SLP/CCC
89 NORTHSHORE DR
LAGRANGE, GA 30240-9167
Phone number: 706-881-0901
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