| NPI | 1427392208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEELY JACOBS JACKSON Owner/Speech Language Pathologist 919-628-8355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 8580) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-19 |