Individual
MRS. SARA FRANCES JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1573 MATHIAS PKWY, GARDNERVILLE, NV 89410-7966
(775) 782-6620
Mailing address
PO BOX 152, MINDEN, NV 89423-0152
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1464
NV
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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