Individual
CARRIE JACKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1465 OAKFIELD DR, BRANDON, FL 33511-4854
(509) 847-8847
Mailing address
9513 DELANEY CREEK BLVD APT 201, TAMPA, FL 33619-5181
(509) 847-8847
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
FL
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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