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Individual

EMMA MARIE JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CF-SLP

Contact information

Practice address
2501 CHATHAM RD STE 5510, SPRINGFIELD, IL 62704-4188
(630) 418-6390
Mailing address
2501 CHATHAM RD STE 5510, SPRINGFIELD, IL 62704-4188

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.018575
IL

Other

Enumeration date
05/27/2026
Last updated
05/27/2026
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