Individual
ELAINE YI-LING JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
1959 NE PACIFIC ST, BOX 356490, SEATTLE, WA 98195-0001
(206) 598-4830
(206) 598-4897
Mailing address
PO BOX 24366, M/S 359107, SEATTLE, WA 98124-0366
(206) 598-8920
(206) 598-7663
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00002511
WA
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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