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1275775819
LAURIE WILKIE JACKSON
IRMO, SC
NPI
1275775819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: SC 526)
Enumeration Date
2009-03-27
Last Update Date
2009-03-27
Business Address
MRS. LAURIE WILKIE JACKSON MSP-CCC, SLP
103 DELAINE WOODS DR
IRMO, SC 29063-8098
Phone number: 803-407-8141
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Mailing Address
MRS. LAURIE WILKIE JACKSON MSP-CCC, SLP
103 DELAINE WOODS DR
IRMO, SC 29063-8098
Phone number: 803-407-8141
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