Individual
MRS. TINA MARIE JACOBSEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
606 W CEDAR ST, BERESFORD, SD 57004-1125
(605) 763-2048
Mailing address
3120 W ROSE CREST DR, SIOUX FALLS, SD 57108-1721
(605) 357-3661
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01293
IA
Other
Enumeration date
03/28/2006
Last updated
07/08/2007
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