JODENE VENESSA JACKSON

LOS ANGELES, CA
NPI1588470603
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  29257)
Enumeration Date2024-12-04
Last Update Date2024-12-04
Business Address
JODENE VENESSA JACKSON CCC-SLP
2070 CENTURY PARK E
LOS ANGELES, CA 90067-1907
Phone number: 424-522-7100
Mailing Address
JODENE VENESSA JACKSON CCC-SLP
839 ASHTON PARK CT
LAWRENCEVILLE, GA 30045-7090
Phone number: 404-989-6842