Individual
LAUREN JACOBSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901-1928
(732) 828-3000
Mailing address
10 BLAKE AVE, CRANFORD, NJ 07016-2905
(973) 903-0988
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00772300
NJ
Other
Enumeration date
04/29/2015
Last updated
01/31/2022
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