Individual
KATHERINE B JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC SLP
Contact information
Practice address
1772 STEIGER LAKE LN, VICTORIA, MN 55386-7723
(952) 443-9888
Mailing address
4838 36TH AVE S, MINNEAPOLIS, MN 55417-1513
(612) 724-9138
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7325
MN
Other
Enumeration date
04/11/2007
Last updated
07/21/2022
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