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Individual

KATHERINE MARIE JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
6595 S DAYTON ST, SUITE 1500, GREENWOOD VILLAGE, CO 80111-6128
(303) 504-9945
(303) 504-9946
Mailing address
1734 W CRESTLINE AVE, LITTLETON, CO 80120-1219
(303) 794-2201
(303) 504-9945

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01108932
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
35653264
CO
01
649046
ANTHEM
Enumeration date
03/27/2007
Last updated
07/08/2007
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