Individual
KRISTEN JACOBSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
747 MAIN ST STE 307, CONCORD, MA 01742-3329
(978) 369-5200
Mailing address
9 ROCKWOOD HEIGHTS RD, MANCHESTER, MA 01944-1029
(978) 241-2442
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5094
MA
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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