Individual
MRS. MOLLY ALYSSA JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
5621 BRIAR ROSA DR APT 10, LINCOLN, NE 68516-4949
(308) 940-2298
Mailing address
3700 W PLUM ST, LINCOLN, NE 68522-9422
(308) 940-2298
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1752
NE
Other
Enumeration date
10/29/2015
Last updated
12/14/2016
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