Gwen Jackson

NPI #1023670478 in Hempstead, New York

Provider Information

NPI Number
1023670478
Entity Type
Individual
Name
Gwen Jackson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Jul 7, 2019
Last Updated
Jul 7, 2019

Practice Location

Address
85 ALABAMA AVE
ZIP Code
11550-7210
Phone
(516) 297-9727

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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