INDIA JACKSON

LAWRENCEVILLE, GA
NPI1861210775
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: GA  SLP013295)
Enumeration Date2024-09-30
Last Update Date2024-10-03
Business Address
INDIA JACKSON
545 OLD NORCROSS RD STE 200
LAWRENCEVILLE, GA 30046-3390
Phone number: 678-377-2833
Mailing Address
INDIA JACKSON
6315 ROBINS TRCE
STONE MOUNTAIN, GA 30087-4979
Phone number: 404-414-0866
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