MS. Debra Marlene Jackson, MS-CCC/SLP
NPI #1245282904 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1245282904
- Entity Type
- Individual
- Name
- MS. Debra Marlene Jackson, MS-CCC/SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS-CCC/SLP
- Enumeration Date
- May 17, 2006
- Last Updated
- Aug 23, 2011
Practice Location
- Address
- 1219 TROY RD
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-2363
- Phone
- (618) 960-7696
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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