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1467945089
LAURIE JACKSON
WEXFORD, PA
NPI
1467945089
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: PA SL011613)
Enumeration Date
2018-06-08
Last Update Date
2018-06-08
Business Address
LAURIE JACKSON
122 ASHLEY HILL DR
WEXFORD, PA 15090-9457
Phone number: 703-955-0716
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Mailing Address
LAURIE JACKSON
122 ASHLEY HILL DR
WEXFORD, PA 15090-9457
Phone number: 703-955-0716
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