Individual
MOLLY JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2064 WOODBURY AVE STE 204, NEWINGTON, NH 03801-2808
(603) 433-4192
(603) 433-3381
Mailing address
2064 WOODBURY AVE STE 204, NEWINGTON, NH 03801-2808
(603) 433-4192
(603) 433-3381
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1947
NH
Other
Enumeration date
11/07/2019
Last updated
10/09/2020
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