Madeline Ruth Jackson, SLP
NPI #1124547047 in Fargo, North Dakota
Provider Information
- NPI Number
- 1124547047
- Entity Type
- Individual
- Name
- Madeline Ruth Jackson, SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- SLP
- Enumeration Date
- Sep 12, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 1720 UNIVERSITY DR S
- City
- Fargo
- State
- North Dakota
- ZIP Code
- 58103-4940
- Phone
- (701) 417-4493
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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