Individual
CAROLINE J JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
610 T W BARKER DR, FRANKLINTON, LA 70438-1549
(985) 839-5674
Mailing address
804 CLEVELAND ST, FRANKLINTON, LA 70438-7100
(985) 839-9816
(985) 839-4794
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3224
LA
235Z00000X
Speech-Language Pathologist
S0890
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00230121
—
MS
Enumeration date
03/22/2011
Last updated
06/05/2024
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