Individual
CHRISTINE MARIE JAKOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 LACRUE AVE, SUITE210, GLEN MILLS, PA 19342-1062
(800) 578-7906
Mailing address
PO BOX 7, GLEN MILLS, PA 19342-0007
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242001277
IL
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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