GENETTE JACKSON

BELTSVILLE, MD
NPI1104399096
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MD  07511)
Enumeration Date2019-01-03
Last Update Date2019-01-03
Business Address
GENETTE JACKSON
11011 CHERRY HILL RD
BELTSVILLE, MD 20705-3801
Phone number: 301-572-0600
Mailing Address
GENETTE JACKSON
3715 40TH PL
BRENTWOOD, MD 20722-1610
Phone number: 301-461-8221
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