Individual
ANDREA L JACOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
201 RYANS RUN CT, GREENVILLE, SC 29615-6055
(770) 328-0005
Mailing address
201 RYANS RUN CT, GREENVILLE, SC 29615-6055
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4867
SC
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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