SearchIllinois235Z00000X

Rae Jackson, M.A.,CCC-SLP

NPI 1861668857 · on the registry since 2008 · sole proprietor

Practice

Address
100 N School Rd
East Dubuque, IL 61025
Phone
(815) 747-3117
Fax
(815) 747-3827
Clinicians at this address
2

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-04-30

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