Individual
KATHERINE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4900 HOUSTON RD, FLORENCE, KY 41042-4824
(859) 212-5386
(859) 212-5474
Mailing address
4900 HOUSTON RD, FLORENCE, KY 41042-4824
(859) 212-5386
(859) 212-5474
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/29/2008
Last updated
03/08/2013
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