EMILY JACKSON

PORTLAND, ME
NPI1164846101
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ME  SP2319)
Enumeration Date2014-02-11
Last Update Date2014-10-29
Business Address
Mrs. EMILY JACKSON M.S. CCC-SLP
1600 FOREST AVE
PORTLAND, ME 04103-1314
Phone number: 207-874-8271
Mailing Address
Mrs. EMILY JACKSON M.S. CCC-SLP
519 PREBLE ST
SOUTH PORTLAND, ME 04106-5018
Phone number: 207-712-4398
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