Individual
JACQUETTA MONTISE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 HEDRICK DR, THOMASVILLE, NC 27360-6009
(336) 472-2017
Mailing address
206 KINNEY AVE, THOMASVILLE, NC 27360-3834
(336) 340-9135
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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