LISA ANN JACKSON

RENSSELAER, IN
NPI1255386926
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IN  22002369A)
Enumeration Date2006-05-23
Last Update Date2007-07-08
Business Address
Mrs. LISA ANN JACKSON MA CCC SLP
1104 EAST GRACE STREET
RENSSELAER, IN 47978-3211
Phone number: 219-866-5141
Mailing Address
Mrs. LISA ANN JACKSON MA CCC SLP
1104 EAST GRACE STREET
RENSSELAER, IN 47978-3211
Phone number: 219-866-5141
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