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1790005791
DEMETRIA JACKSON
BRUNSWICK, GA
NPI
1790005791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP007195)
Enumeration Date
2010-06-02
Last Update Date
2022-02-04
Business Address
DEMETRIA JACKSON CCC-SLP
157 CORAL DR
BRUNSWICK, GA 31523-8951
Phone number: 912-689-4382
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Mailing Address
DEMETRIA JACKSON CCC-SLP
PO BOX 2246
BRUNSWICK, GA 31521-2246
Phone number: 912-689-4382
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