Individual
NOAH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19307 E CATALDO AVE, SPOKANE VALLEY, WA 99016-9489
(509) 558-4940
Mailing address
19307 E CATALDO AVE, SPOKANE VALLEY, WA 99016-9489
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.LL.60814194
WA
Other
Enumeration date
12/15/2017
Last updated
12/15/2017
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