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1205048824
J. MICHELE JACKSON
CAMDEN, AR
NPI
1205048824
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: AR 706)
Enumeration Date
2007-05-04
Last Update Date
2014-10-17
Business Address
MRS. J. MICHELE JACKSON CCC-SLP
2235 CALIFORNIA AVE SW
CAMDEN, AR 71701-5605
Phone number: 870-836-2654
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Mailing Address
MRS. J. MICHELE JACKSON CCC-SLP
288 CHOCTAW RDG
EL DORADO, AR 71730-2250
Phone number: 870-918-2894
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