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Demetria Jackson, CCC-SLP
NPI 1790005791 · on the registry since 2010 · sole proprietor
Practice
- Address
- 157 Coral Dr
Brunswick, GA 31523 - Phone
- (912) 689-4382
- Fax
- (888) 875-2884
- Organisation at this address
- Innovative Therapy Matters Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-02-04
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 Georgia