Individual
ROBERT LEE KNAPP JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11226 N 23RD AVE STE 101, PHOENIX, AZ 85029-4830
(602) 309-8821
Mailing address
23634 N 58TH AVE, GLENDALE, AZ 85310-3647
(602) 309-8821
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA14215
AZ
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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