Individual
MEREDITH JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4339 44TH AVE S, MINNEAPOLIS, MN 55406-4058
(402) 202-7190
Mailing address
4339 44TH AVE S, MINNEAPOLIS, MN 55406-4058
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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