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1871836395
KIMBERLY D. JACKSON
COVINGTON, GA
NPI
1871836395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP008106)
Enumeration Date
2013-04-03
Last Update Date
2013-04-11
Business Address
-- KIMBERLY D. JACKSON M.S., CCC-SLP
270 CREEKVIEW BLVD
COVINGTON, GA 30016-7693
Phone number: 404-434-9595
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Mailing Address
-- KIMBERLY D. JACKSON M.S., CCC-SLP
270 CREEKVIEW BLVD
COVINGTON, GA 30016-7693
Phone number: 404-434-9595
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