Mrs. Waukesha Jackson
Mrs. Waukesha Jackson is a Developmental Therapist in Indianapolis, Indiana. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1222 S Grant AveIndianapolis, IN 46203-2338
Phone: (317) 746-3301
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Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|
Record details
| NPI number | 1528797172 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 8, 2022 |
| Last updated in NPPES | June 15, 2022 |
| Certification date | June 15, 2022 |
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