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Individual

ERICA JACOB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
10809 CENTER RD, GRAND BLANC, MI 48439-1034
(810) 919-1102
Mailing address
10809 CENTER RD, GRAND BLANC, MI 48439-1034
(810) 919-1102

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005268
MI

Other

Enumeration date
07/01/2019
Last updated
07/01/2019
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