Individual
JANET S JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC
Contact information
Practice address
1260 W COUNTY ROAD E, ARDEN HILLS, MN 55112
(651) 639-0942
(651) 639-1718
Mailing address
3064 MILDRED DR, ROSEVILLE, MN 55113-1222
(651) 636-7219
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5046
MN
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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