Individual
JEANNIE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
317 RAFF RD NW, CANTON, OH 44708-5636
(330) 456-1001
Mailing address
317 RAFF RD NW, CANTON, OH 44708-5636
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 4924
OH
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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