Individual
MRS. LAUREN ELIZABETH JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
29 N ACADEMY ST, GREENVILLE, SC 29601-2629
(864) 331-1350
Mailing address
29 N ACADEMY ST, GREENVILLE, SC 29601-2629
(864) 331-1350
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4725
SC
Other
Enumeration date
12/06/2007
Last updated
09/01/2011
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