Individual
SUSAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
315 N FRENCH AVE, ARLINGTON, WA 98223-1317
(360) 618-6240
Mailing address
315 N FRENCH AVE, ARLINGTON, WA 98223-1317
(360) 618-6240
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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