Individual
DARA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1608 W TEXAS AVE, MIDLAND, TX 79701-6559
(432) 279-1133
(432) 704-2030
Mailing address
1608 W TEXAS AVE, MIDLAND, TX 79701-6559
(432) 279-1133
(432) 704-2030
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
110650
TX
Other
Enumeration date
09/16/2015
Last updated
03/09/2018
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