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1962874099
LAKEISHA JACKSON
WOODSTOCK, GA
NPI
1962874099
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: GA SLP006166)
Enumeration Date
2015-10-28
Last Update Date
2023-10-24
Business Address
MRS. LAKEISHA JACKSON
225 CREEKSTONE RDG STE 25
WOODSTOCK, GA 30188-3744
Phone number: 404-939-5976
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Mailing Address
MRS. LAKEISHA JACKSON
744 NOAH DR STE 113-374
JASPER, GA 30143-8705
Phone number: 404-939-5976
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