Individual
AUBREY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2920 LEVERENZ RD, NAPERVILLE, IL 60564-5135
(630) 359-8835
Mailing address
1580 N FARWELL AVE, APT 311, MILWAUKEE, WI 53202-2378
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.013924
IL
235Z00000X
Speech-Language Pathologist
4341-154
WI
Other
Enumeration date
09/11/2016
Last updated
03/15/2024
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