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Individual

SHELLEY HELENA JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
448 LEWIS HARGETT CIR, LEXINGTON, KY 40503-3594
(859) 313-5250
(859) 373-8577
Mailing address
448 LEWIS HARGETT CIR, LEXINGTON, KY 40503-3594
(859) 313-5250
(859) 373-8577

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1272
KY

Other

Enumeration date
01/18/2016
Last updated
01/18/2016
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