Individual
ANASTASIA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
2506 SOUTHWEST SQ, JONESBORO, AR 72401-5982
(870) 933-5800
Mailing address
2516 ROSEWOOD CIR, JONESBORO, AR 72401-5936
(870) 935-2223
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1533
AR
Other
Enumeration date
05/15/2008
Last updated
05/16/2008
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