Individual
MS. LORETTA CLAIRE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
42 WASHINGTON ST STE 110, WELLESLEY HILLS, MA 02481-1817
(800) 804-5041
Mailing address
42 WASHINGTON ST STE 110, WELLESLEY HILLS, MA 02481-1817
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14180833
MA
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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