BIANCA JACKSON

BATON ROUGE, LA
NPI1114306016
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Additional Taxonomies222Q00000X Developmental Therapist
Enumeration Date2015-05-26
Last Update Date2019-07-31
Business Address
BIANCA JACKSON
1832 STANOCOLA DR
BATON ROUGE, LA 70807-3047
Phone number: 225-614-6773
Mailing Address
BIANCA JACKSON
1832 STANOCOLA DR
BATON ROUGE, LA 70807-3047
Phone number: 225-614-6773
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