Individual
CRYSTAL JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2426 CAIRNS MILL CT, CHARLOTTE, NC 28269-4083
(910) 973-7620
Mailing address
2426 CAIRNS MILL CT, CHARLOTTE, NC 28269-4083
(910) 973-7620
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
0545
NC
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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