Tara M Jackson

NPI #1578784245 in Auburn, Kentucky

Provider Information

NPI Number
1578784245
Entity Type
Individual
Name
Tara M Jackson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Developmental Therapist
Enumeration Date
May 1, 2007
Last Updated
Apr 29, 2020

Practice Location

Address
104 G CORUM LN
City
Auburn
ZIP Code
42206-5000
Phone
(270) 847-7004

Specialties & Taxonomy Codes

Specialty
Developmental Therapist

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