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Individual

GRETCHEN ANN JACOBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
96 SUN VALLEY DR, HORSEHEADS, NY 14845-7213
(607) 738-8967
Mailing address
96 SUN VALLEY DR, HORSEHEADS, NY 14845-7213
(607) 738-8967

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
970142001
NY

Other

Enumeration date
07/20/2012
Last updated
07/20/2012
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