Individual
CHERYL SMALL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
87 WOODLAWN AVE, NEW ROCHELLE, NY 10804-4620
(914) 834-9185
Mailing address
87 WOODLAWN AVE, NEW ROCHELLE, NY 10804-4620
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/26/2009
Last updated
03/26/2009
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