Individual
MRS. PATRICIA LYNN JACOBSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
3001 US HIGHWAY 12 E, MENOMONIE, WI 54751-5569
(715) 232-2661
(715) 232-8049
Mailing address
1412 OAKWOOD AVE, MENOMONIE, WI 54751-2900
(715) 233-0396
(715) 233-0396
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1607-154
WI
Other
Enumeration date
03/25/2009
Last updated
03/25/2009
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