Tawanna C Jackson, MSP,CCC-SLP

NPI #1790841450 in Lithonia, Georgia

Provider Information

NPI Number
1790841450
Entity Type
Individual
Name
Tawanna C Jackson, MSP,CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
MSP,CCC-SLP
Enumeration Date
Dec 28, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
8075 MALL PKWY
Address 2
SUITE 101-332
State
Georgia
ZIP Code
30038-6993
Phone
(770) 323-3002

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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