CARA JACKSON

CALDWELL, ID
NPI1295149094
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  TSLP-2578)
Enumeration Date2014-06-19
Last Update Date2020-01-27
Business Address
CARA JACKSON
1906 FAIRVIEW AVE STE 330
CALDWELL, ID 83605-5425
Phone number: 208-385-3680
Mailing Address
CARA JACKSON
7894 S DESERT RIDGE AVE
BOISE, ID 83716-5825
Phone number: 406-531-1397
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