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Organization
JACKSON SPEECH THERAPY SERVICES
Active
Organization
JACKSON SPEECH THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOIS L JACKSON M. ED. CCC-SLP (ORGANIZER/OWNER/SLP)
(706) 224-1178
Entity
Organization
Contact information
Practice address
380 LAKELAND DR, ATHENS, GA 30607-2092
(706) 224-1178
Mailing address
380 LAKELAND DR, ATHENS, GA 30607-2092
(706) 224-1178
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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