Individual
MS. LOUISE G. JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST.
Contact information
Practice address
930 FOLLY RD STE B, CHARLESTON, SC 29412-3938
(888) 510-6369
(888) 510-9156
Mailing address
930 FOLLY RD STE B, CHARLESTON, SC 29412-3938
(888) 510-6369
(888) 510-9156
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
342
SC
Other
Enumeration date
09/18/2009
Last updated
01/13/2017
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