Organization
JACKSON SPEECH & LANGUAGE SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KEELY JACOBS JACKSON M.S., CCC-SLP (OWNER/SPEECH-LANGUAGE PATHOLOGIST)
(919) 628-8355
Entity
Organization
Contact information
Practice address
2505 COUNTRY CLUB CT., RALEIGH, NC 27608-1303
(919) 628-8355
(888) 206-6899
Mailing address
2505 COUNTRY CLUB CT., RALEIGH, NC 27608-1303
(919) 628-8355
(888) 206-6899
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8580
NC
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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