CARLY B JACKSON

CHENEY, WA
NPI1780911743
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist
(Licence: WA  LL60083435)
Enumeration Date2009-11-12
Last Update Date2013-09-13
Business Address
CARLY B JACKSON MS CCC-SLP
12414 S ANDRUS RD
CHENEY, WA 99004-8607
Phone number: 509-559-4507
Mailing Address
CARLY B JACKSON MS CCC-SLP
12414 S ANDRUS RD
CHENEY, WA 99004-8607
Phone number: 509-559-4507
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