CELESTE JACKSON

CUMMING, GA
NPI1255389649
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: GA  SLP004817)
Enumeration Date2006-05-05
Last Update Date2007-07-09
Business Address
-- CELESTE JACKSON
4220 STACKSTONE DR
CUMMING, GA 30041-5644
Phone number: 404-641-9019
Mailing Address
-- CELESTE JACKSON
4220 STACKSTONE DR
CUMMING, GA 30041-5644
Phone number: