Individual
CANDACE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
1630 ACADEMY DR APT 905, AUBURN, AL 36830-1711
(334) 477-3114
Mailing address
1630 ACADEMY DR APT 905, AUBURN, AL 36830-1711
(334) 477-3114
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3373
AL
Other
Enumeration date
07/24/2014
Last updated
05/28/2019
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