Individual
JENNIFER NICOLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
597 HIGH ST, DEDHAM, MA 02026-1863
(781) 329-2262
(781) 329-2207
Mailing address
597 HIGH ST, PO BOX 126, DEDHAM, MA 02026-1863
(781) 329-2262
(781) 329-2207
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13065
OR
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/16/2008
Last updated
01/27/2009
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