Jarrett Roux Jackson M.ED., CCC-SLP

NPI 1023360500 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1023360500
Gender Female
Enumeration Date 10/09/2012
Last Updated 10/09/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
3756 LAVISTA RD
SUITE 104
TUCKER GA, 30084-5614, US
Phone (404) 477-9400
Fax
Business Location
3756 LAVISTA RD
SUITE 104
TUCKER GA, 30084-5614, US
Phone
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Georgia
License Number 007403
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According to our database, Mrs. Jarrett Roux Jackson M.ED., CCC-SLP NPI is 1023360500, taxonomy code is 235Z00000X and license number is 007403, license state is located at Georgia. Jarrett Roux Jackson M.ED., CCC-SLP physically located at 3756 Lavista Rd, Tucker GA, 30084-5614. NPI Number Jarrett Roux Jackson M.ED., CCC-SLP has the Individual type.

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1023360500 NPI number is provided on an as is basis without warranty of any kind. 1023360500 is maintained by the National Plan & Provider Enumeration System. The contents of Jarrett Roux Jackson M.ED., CCC-SLP are for informational purposes only.