TARA JACKSON

Early Intervention Provider Agency

NPI: 1093169823Organization

Specialties, Licenses & Credentials

Early Intervention Provider AgencyPrimary

Early Intervention Provider Agency

Code: 252Y00000X

Contact & Hours

Address: 104 G CORUM LN
AUBURN, KY 42206
Phone: (270) 847-7004

Location

Practice Location

104 G CORUM LN, AUBURN, KY

Quick Facts

NPI: 1093169823
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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