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1881931863
MICHELLE N JACKSON
CARMEL, IN
NPI
1881931863
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Former Name
MICHELLE WELAGE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IN 46002415A)
Enumeration Date
2013-01-10
Last Update Date
2016-01-07
Business Address
Mrs. MICHELLE N JACKSON Speech Pathologist
118 MEDICAL DRIVE LIFESPAN THERAPY
CARMEL, IN 46032-2923
Phone number: 317-817-8874
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Mailing Address
Mrs. MICHELLE N JACKSON Speech Pathologist
118 MEDICAL DRIVE LIFESPAN THERAPY
CARMEL, IN 46032-2923
Phone number: 317-817-8874
Copy
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