Kerriann Jackson

NPI #1013228147 in Jamaica Plain, Massachusetts

Provider Information

NPI Number: 1013228147
Entity Type: Individual
Name: Kerriann Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Jun 23, 2010
Last Updated: Jun 23, 2010

Practice Location

Address: 555 AMORY ST
City: Jamaica Plain
State: Massachusetts
ZIP Code: 02130-2652
Phone: (617) 383-6522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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