Kimberly R Jackson

NPI #1043597867 in Warren, Arkansas

Provider Information

NPI Number: 1043597867
Entity Type: Individual
Name: Kimberly R Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Nov 8, 2011
Last Updated: Nov 8, 2011

Practice Location

Address: 206 BRAGG ST
City: Warren
State: Arkansas
ZIP Code: 71671-2500
Phone: (870) 226-7844

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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