Individual
MS. EILEEN ROBERTS JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S./CCC-SLP
Contact information
Practice address
9811 DANFORD ST, FREDERICKSBURG, VA 22407-8369
(540) 903-0337
Mailing address
9811 DANFORD ST, FREDERICKSBURG, VA 22407-8369
(540) 903-0337
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005660
VA
235Z00000X
Speech-Language Pathologist
8463
NC
Other
Enumeration date
05/28/2009
Last updated
05/28/2009
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