Kiqiana Jackson
Kiqiana Jackson is a Developmental Therapist in Chicago, Illinois. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
8808 S Hermitage AveChicago, IL 60620-4940
Phone: (773) 656-8638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|
Record details
| NPI number | 1194197210 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 28, 2015 |
| Last updated in NPPES | December 1, 2015 |
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