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Individual
DR. AMY JACOBSON
Active
Individual
DR. AMY JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
591-156
WI
231HA2400X
Assistive Technology Practitioner Audiologist
591-156
WI
231HA2500X
Assistive Technology Supplier Audiologist
591-156
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134532245
—
WI
Enumeration date
06/05/2014
Last updated
06/26/2024
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