Individual
SHELBY LYNN JACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1501 INVERNESS DR, LAWRENCE, KS 66047-1870
(417) 209-6270
Mailing address
1311 E 100TH TER, KANSAS CITY, MO 64131-3311
(417) 209-6270
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
08/12/2024
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