Individual
MS. MARGARET KATHLEEN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCCSLP
Contact information
Practice address
543 BLAZEDWOOD DR, BALLWIN, MO 63021-6344
(314) 920-6248
(636) 386-0960
Mailing address
543 BLAZEDWOOD DR, BALLWIN, MO 63021-6344
(314) 920-6248
(636) 386-0960
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
107730
MO
Other
Enumeration date
01/23/2007
Last updated
07/09/2007
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