Individual
KATELYN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CF-SLP
Contact information
Practice address
2500 HIGH GROVE RD, GRANDVIEW, MO 64030-5400
(816) 316-5482
Mailing address
2500 HIGH GROVE RD, GRANDVIEW, MO 64030-5400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2014026255
MO
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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