TAWANNA C JACKSON

LITHONIA, GA
NPI1790841450
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: GA  slp005500)
Enumeration Date2006-12-28
Last Update Date2007-07-09
Business Address
-- TAWANNA C JACKSON MSP,CCC-SLP
8075 MALL PKWY SUITE 101-332
LITHONIA, GA 30038-6993
Phone number: 770-323-3002
Mailing Address
-- TAWANNA C JACKSON MSP,CCC-SLP
8075 MALL PKWY SUITE 101-332
LITHONIA, GA 30038-6993
Phone number: 770-323-3002
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