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Individual
SHELBY LYNN JACKLOSKI
Active
Individual
SHELBY LYNN JACKLOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MM, MS, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30003454
NC
235Z00000X
Speech-Language Pathologist
SZ11299
FL
Other
Enumeration date
07/10/2023
Last updated
10/15/2024
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