Individual
JUDITH ANN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CGC
Contact information
Practice address
55 FOGG RD, SOUTH WEYMOUTH, MA 02190-2432
(781) 624-8139
(781) 624-3713
Mailing address
PO BOX 99, SOUTH WEYMOUTH, MA 02190-0001
(781) 624-8139
(781) 624-3713
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC091
MA
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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