Individual
MRS. JACKIE M. ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
528 CRAIG LANE, GEORGETOWN, KY 40324
(859) 489-9310
(502) 863-4426
Mailing address
528 CRAIG LANE, GEORGETOWN, KY 40324
(859) 489-9310
(502) 863-4426
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0951
KY
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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