TARA MICHELE JACKSON

CHARLOTTE, NC
NPI1114973559
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NC  5772)
Enumeration Date2006-05-26
Last Update Date2011-07-02
Business Address
Mrs. TARA MICHELE JACKSON MA, CCC-SLP
3403 LINDEN BERRY LN
CHARLOTTE, NC 28269-1300
Phone number: 704-258-1724
Mailing Address
Mrs. TARA MICHELE JACKSON MA, CCC-SLP
3403 LINDEN BERRY LANE
CHARLOTTE, NC 28269-1300
Phone number: 704-898-2437