ANNIE JACK

INDEPENDENCE, MO
NPI1669861985
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MO  2012011146)
Enumeration Date2015-01-12
Last Update Date2015-01-12
Business Address
-- ANNIE JACK
3980 E JACKSON DR
INDEPENDENCE, MO 64057-2205
Phone number: 816-795-1433
Mailing Address
-- ANNIE JACK
703 NW PAR DR
GRAIN VALLEY, MO 64029-7347
Phone number:
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