Individual
HARRIET JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
5300 NW 74TH TER, LAUDERHILL, FL 33319-6355
(954) 612-4330
Mailing address
5300 NW 74TH TER, LAUDERHILL, FL 33319-6355
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI8308
FL
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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