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1356496707
SCOTT BRYAN JACKSON
BLUE POINT, NY
NPI
1356496707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 016099-1)
Enumeration Date
2007-01-24
Last Update Date
2007-07-08
Business Address
-- SCOTT BRYAN JACKSON M.S., CCC SLP
235 BLUE POINT AVE LITTLE ANGELS CENTER
BLUE POINT, NY 11715-1203
Phone number: 631-363-5794
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Mailing Address
-- SCOTT BRYAN JACKSON M.S., CCC SLP
235 BLUE POINT AVE LITTLE ANGELS CENTER
BLUE POINT, NY 11715-1203
Phone number: 631-363-5794
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