Individual
CLAIRE ZIMMERMAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
9400 SAINT ANN DR, OKLAHOMA CITY, OK 73162-6400
(405) 728-7888
Mailing address
4616 CAVEAT DR, EDMOND, OK 73025-7908
(225) 975-4985
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4316
OK
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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