Individual
MISS SARAH E JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
650 N SHORELINE DR, WASILLA, AK 99654
(907) 376-6363
Mailing address
613 S KNIK GOOSE BAY RD STE B, WASILLA, AK 99654-8090
(907) 631-3056
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4573
TN
Other
Enumeration date
06/11/2012
Last updated
05/17/2020
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