Individual
MRS. MARY ANN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.CCC-SLP
Contact information
Practice address
1004 BOARDMAN, JUDSONIA ELEMENTARY SCHOOL, JUDSONIA, AR 72081
(501) 729-5196
Mailing address
1310 W RACE AVE, SEARCY, AR 72143-3312
(501) 268-2333
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
347
AR
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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