Individual
ADRIENNE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2319 RANDOLPH RD, CHARLOTTE, NC 28207-1525
(704) 562-0088
Mailing address
12834 SPIRIT BOUND WAY, CHARLOTTE, NC 28273-7707
(517) 240-9407
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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