Individual
MRS. J. MICHELE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2235 CALIFORNIA AVE SW, CAMDEN, AR 71701-5605
(870) 836-2654
Mailing address
288 CHOCTAW RDG, EL DORADO, AR 71730-2250
(870) 918-2894
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
706
AR
Other
Enumeration date
05/04/2007
Last updated
10/17/2014
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