Individual
MRS. ASHLEY NICOLE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
819 GRANITE LN, SAVANNAH, GA 31419-7800
(912) 656-8254
Mailing address
819 GRANITE LN, SAVANNAH, GA 31419-7800
(912) 656-8254
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005965
GA
Other
Enumeration date
11/19/2005
Last updated
07/29/2010
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