MS. Debra Marlene Jackson, MS-CCC/SLP
MS. Debra Marlene Jackson, MS-CCC/SLP is a Speech-Language Pathologist in Edwardsville, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
1219 Troy RdEdwardsville, IL 62025-2363
Phone: (618) 960-7696
Fax: (130) 921-6271
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 146003388 (IL) |
|---|
Record details
| NPI number | 1245282904 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MS-CCC/SLP |
| Sole proprietor | Yes |
| NPI enumerated | May 17, 2006 |
| Last updated in NPPES | August 23, 2011 |
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