Individual
LIVIA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1045 MARYLAND AVE, HAGERSTOWN, MD 21740-7201
(301) 750-2897
Mailing address
970 S COLEBROOK RD, MANHEIM, PA 17545-8654
(717) 917-6158
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MD
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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