Individual
MRS. KAREN C. JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
7449 HEATHERFIELD LN, ALEXANDRIA, VA 22315-5292
(724) 413-4024
(703) 822-0063
Mailing address
7449 HEATHERFIELD LN, ALEXANDRIA, VA 22315-5292
(724) 413-4024
(703) 822-0063
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
007838
NY
235Z00000X
Speech-Language Pathologist
Primary
2202004751
VA
235Z00000X
Speech-Language Pathologist
SL004095
PA
Other
Enumeration date
07/11/2011
Last updated
07/11/2011
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