Individual
JULIA MARIE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
6099 WAYZATA BLVD, SAINT LOUIS PARK, MN 55416-5538
(612) 871-1144
(817) 920-0068
Mailing address
6099 WAYZATA BLVD, SAINT LOUIS PARK, MN 55416-5538
(612) 871-1144
(817) 378-3699
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
112593
TX
Other
Enumeration date
07/07/2016
Last updated
03/16/2023
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