Individual
DANIELLE BEVERLY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
337 NE 51ST RD, WARRENSBURG, MO 64093-7490
(913) 369-5897
Mailing address
337 NE 51ST RD, WARRENSBURG, MO 64093-7490
(913) 369-5897
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2022004186
MO
Other
Enumeration date
07/08/2020
Last updated
04/08/2024
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