Individual
JACOB RYAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CF-SLP
Contact information
Practice address
213 WATER ST, DAWSON SPRINGS, KY 42408-1727
(270) 797-2025
Mailing address
213 WATER ST, DAWSON SPRINGS, KY 42408-1727
(270) 797-2025
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/25/2023
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