Individual
EMMA JACKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5529
(937) 656-2149
Mailing address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5529
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/22/2022
Last updated
02/03/2026
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