Annie Jack
NPI #1669861985 in Independence, Missouri
Provider Information
- NPI Number
- 1669861985
- Entity Type
- Individual
- Name
- Annie Jack
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jan 12, 2015
- Last Updated
- Jan 12, 2015
Practice Location
- Address
- 3980 E JACKSON DR
- City
- Independence
- State
- Missouri
- ZIP Code
- 64057-2205
- Phone
- (816) 795-1433
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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