LISA NICOLE JACKSON

TYLER, TX
NPI1720493224
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: TX  37923)
Enumeration Date2014-06-24
Last Update Date2014-06-24
Business Address
-- LISA NICOLE JACKSON B.A. SLPA
3200 TROUP HWY STE, 120
TYLER, TX 75701
Phone number: 903-253-0095
Mailing Address
-- LISA NICOLE JACKSON B.A. SLPA
3200 TROUP HWY STE 120
TYLER, TX 75701-8364
Phone number: 903-253-0095
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