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Tara Childress-Jackson, SLPA
NPI 1093166373 · on the registry since 2016 · sole proprietor
Practice
- Address
- 8819 S Fairfield Ave
Evergreen Park, IL 60805 - Phone
- (312) 758-1463
Registry record
- Primary taxonomy
- Speech-Language Assistant
2355S0801X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-06-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois