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1639897127
JULIE CAROLINE JACKSON
KELLER, TX
NPI
1639897127
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 109406)
Enumeration Date
2022-08-19
Last Update Date
2022-08-19
Business Address
JULIE CAROLINE JACKSON SLP
350 KELLER PKWY
KELLER, TX 76248-2249
Phone number: 817-744-1000
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Mailing Address
JULIE CAROLINE JACKSON SLP
12033 WILD BILL CT
NEWARK, TX 76071-8944
Phone number: 817-688-3270
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