Individual
MRS. JILL E JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
3099 MEADOWBROOK BLVD, #1, CLEVELAND HEIGHTS, OH 44118-2883
(216) 320-0879
Mailing address
3099 MEADOWBROOK BLVD, #1, CLEVELAND HEIGHTS, OH 44118-2883
(216) 320-0879
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-7319
OH
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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