Individual
MS. MARLENE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
5314 N 7TH ST, PHOENIX, AZ 85014-2805
(602) 277-5006
Mailing address
17103 E CYPRUS POINT CT, FOUNTAIN HILLS, AZ 85268-5704
(602) 525-3516
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA8234
AZ
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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