Individual
MRS. DEONKA SHANEY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1519 28TH ST NW, PUYALLUP, WA 98371-3770
(832) 293-2584
Mailing address
1519 28TH ST NW, PUYALLUP, WA 98371-3770
(832) 293-2584
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
111873
TX
235Z00000X
Speech-Language Pathologist
Primary
LL60907224
WA
Other
Enumeration date
11/21/2018
Last updated
10/23/2024
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