Organization
CONVERSATION STATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH JACOBS MA CCC-SLP (OWNER)
(907) 687-6309
Entity
Organization
Contact information
Practice address
600 UNIVERSITY AVE STE 110, FAIRBANKS, AK 99709-3643
(907) 687-6309
Mailing address
600 UNIVERSITY AVE STE 110, FAIRBANKS, AK 99709-3643
(907) 687-6309
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
155
AK
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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