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Individual

SARAH KATE GIACOBBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
285 HOLMES PITTMAN RD, FOXWORTH, MS 39483-3166
(601) 736-3111
(601) 444-5036
Mailing address
285 HOLMES PITTMAN RD, FOXWORTH, MS 39483-3166
(601) 736-3111
(601) 444-5036

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
41YS00577800
NJ
235Z00000X
Speech-Language Pathologist
Primary
S3814
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
S3814
MISSISSIPPI STATE DEPARTMENT OF HEALTH
MS
Enumeration date
06/22/2009
Last updated
12/12/2013
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