MRS. Lisa Gibson Jackson, M.S. CCC-SLP/L

NPI #1548587280 in Dolton, Illinois

Provider Information

NPI Number
1548587280
Entity Type
Individual
Name
MRS. Lisa Gibson Jackson, M.S. CCC-SLP/L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
M.S. CCC-SLP/L
Enumeration Date
Apr 20, 2010
Last Updated
Apr 20, 2010

Practice Location

Address
15642 MADISON AVE
City
Dolton
ZIP Code
60419-3028
Phone
(708) 841-7446

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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