REGINA DEANNA JACKSON

COLUMBIA, SC
NPI1992958680
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: SC  4374)
Enumeration Date2008-10-28
Last Update Date2008-10-28
Business Address
-- REGINA DEANNA JACKSON MSP CCC-SLP
910 MARTHA ST
COLUMBIA, SC 29203-5032
Phone number: 803-206-7690
Mailing Address
-- REGINA DEANNA JACKSON MSP CCC-SLP
910 MARTHA ST
COLUMBIA, SC 29203-5032
Phone number: 803-206-7690
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