Individual
LEANNE JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2216 S JOG RD, GREENACRES, FL 33415-6101
(561) 415-5577
Mailing address
9065 YEARLING DR, LAKE WORTH, FL 33467-1041
(954) 918-6982
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI6601
FL
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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