Individual
MRS. OLGA WESTLEY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, SLP-CCC
Contact information
Practice address
1303 BENE ST, FRANKLINTON, LA 70438-1248
(985) 839-6890
Mailing address
1303 BENE ST, P O BOX 246, FRANKLINTON, LA 70438-1248
(985) 839-6890
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5265
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1712680
—
LA
Enumeration date
03/08/2007
Last updated
07/09/2007
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