ALISA JACKSON

CHARLOTTE, NC
NPI1255202248
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NC  30004511)
Enumeration Date2025-09-15
Last Update Date2025-09-15
Business Address
-- ALISA JACKSON
2015 AYRSLEY TOWN BLVD STE 202
CHARLOTTE, NC 28273-4068
Phone number: 704-750-0675
Mailing Address
-- ALISA JACKSON
2015 AYRSLEY TOWN BLVD STE 202
CHARLOTTE, NC 28273-4068
Phone number: 704-750-0675
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