Individual
MRS. AMANDA JOLENE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., SLP-CF
Contact information
Practice address
1200 WESTWOOD DR, HAMILTON, MT 59840-2345
(406) 375-4570
Mailing address
1200 WESTWOOD DR, HAMILTON, MT 59840-2345
(406) 375-4570
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-SP-TMP-4933
MT
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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