Individual
MICHELLE JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4709 GREEN RIVER CT NE, MARIETTA, GA 30068-4869
(770) 315-2597
Mailing address
4709 GREEN RIVER CT NE, MARIETTA, GA 30068-4869
(770) 315-2597
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008395
GA
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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