CANDACE JACKSON

NEPHI, UT
NPI1174404479
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: UT  14011678-4102)
Enumeration Date2025-09-11
Last Update Date2025-09-11
Business Address
CANDACE JACKSON CCC-SLP
350 EAST 200 NORTH
NEPHI, UT 84648
Phone number: 435-660-0026
Mailing Address
CANDACE JACKSON CCC-SLP
PO BOX 386
LEVAN, UT 84639
Phone number:
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