DEBRA MARLENE JACKSON

EDWARDSVILLE, IL
NPI1245282904
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist
(Licence: IL  146003388)
Enumeration Date2006-05-17
Last Update Date2011-08-23
Business Address
MS. DEBRA MARLENE JACKSON MS-CCC/SLP
1219 TROY RD
EDWARDSVILLE, IL 62025-2363
Phone number: 618-960-7696
Mailing Address
MS. DEBRA MARLENE JACKSON MS-CCC/SLP
1219 TROY RD
EDWARDSVILLE, IL 62025-2363
Phone number: 618-960-7696
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