Individual
MS. ERIN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4560 SOUTH BLVD, SUITE 310, VIRGINIA BEACH, VA 23452-1160
(757) 490-3223
(757) 490-2824
Mailing address
9237 EMMETT RD, GLEN ALLEN, VA 23060-3544
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202002294
VA
Other
Enumeration date
05/07/2007
Last updated
02/19/2008
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