Individual
MRS. LINDSAY RAE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 KOONTZ LN, CARSON CITY, NV 89701-5513
(775) 883-3622
Mailing address
201 KOONTZ LN, CARSON CITY, NV 89701-5513
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1450
NV
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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