Individual
MRS. COURTNEY EDMUNDS JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
511 W FORSYTH ST, SUITE E, AMERICUS, GA 31709-3433
(229) 928-8202
(229) 928-8205
Mailing address
511 WEST FORSYTH ST, SUITE E, AMERICUS, GA 31709-3465
(229) 928-8202
(229) 928-8205
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006018
GA
Other
Enumeration date
01/11/2008
Last updated
04/28/2010
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