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Individual
MRS. MARY E JACOBI
Active
Individual
MRS. MARY E JACOBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC/SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004391-1
NY
Other
Enumeration date
06/02/2011
Last updated
07/13/2012
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