BROOKE R. JACKS

TALLADEGA, AL
NPI1861779928
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: AL  2856)
Enumeration Date2011-11-03
Last Update Date2011-11-03
Business Address
-- BROOKE R. JACKS
205 SOUTH ST E
TALLADEGA, AL 35160-2411
Phone number: 256-761-3201
Mailing Address
-- BROOKE R. JACKS
205 SOUTH ST E
TALLADEGA, AL 35160-2411
Phone number: 256-761-3201