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Individual

JORDAN HALEY JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED CCC-SLP

Contact information

Practice address
5600 GENERAL DE GAULLE DR, NEW ORLEANS, LA 70131-7247
(504) 394-5991
Mailing address
1321 CONSTANCE ST, NEW ORLEANS, LA 70130-4117
(256) 740-9212

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7706
LA

Other

Enumeration date
08/07/2017
Last updated
08/07/2017
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