Jackie Long, M.S. CCC-SLP
NPI #1689405524 in Farmington, New Mexico
Provider Information
- NPI Number
- 1689405524
- Entity Type
- Individual
- Name
- Jackie Long, M.S. CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S. CCC-SLP
- Enumeration Date
- Aug 12, 2024
- Last Updated
- Aug 12, 2024
Practice Location
- Address
- 3401 E 30TH ST
- City
- Farmington
- State
- New Mexico
- ZIP Code
- 87402-8805
- Phone
- (505) 599-8617
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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