Individual
MRS. AMBER DAWN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1200 E PECAN ST, ALTUS, OK 73521-6141
(580) 379-5820
(580) 379-5829
Mailing address
3716 REGAL DR, ALTUS, OK 73521-5024
(580) 471-0737
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2939
OK
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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