JACKIE D. LONG

OAK HARBOR, WA
NPI1821010356
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WA  LL00003493)
Enumeration Date2006-07-24
Last Update Date2007-07-08
Business Address
Miss JACKIE D. LONG M.A., CCC-SLP
390 NE MIDWAY BLVD #B-101
OAK HARBOR, WA 98277-2642
Phone number: 360-679-4211
Mailing Address
Miss JACKIE D. LONG M.A., CCC-SLP
390 NE MIDWAY BLVD #B-101
OAK HARBOR, WA 98277-2642
Phone number: 360-679-4211
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