MRS. Rae Lynn Jackson, M.A.,CCC-SLP
NPI #1861668857 in East Dubuque, Illinois
Provider Information
- NPI Number
- 1861668857
- Entity Type
- Individual
- Name
- MRS. Rae Lynn Jackson, M.A.,CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.A.,CCC-SLP
- Enumeration Date
- Apr 30, 2008
- Last Updated
- Apr 30, 2008
Practice Location
- Address
- 100 N SCHOOL RD
- City
- East Dubuque
- State
- Illinois
- ZIP Code
- 61025-1174
- Phone
- (815) 747-3117
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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