GWEN JACKSON

HEMPSTEAD, NY
NPI1023670478
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  930041992)
Enumeration Date2019-07-07
Last Update Date2019-07-07
Business Address
GWEN JACKSON
85 ALABAMA AVE
HEMPSTEAD, NY 11550-7210
Phone number: 516-297-9727
Mailing Address
GWEN JACKSON
85 ALABAMA AVE
HEMPSTEAD, NY 11550-7210
Phone number:
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