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Individual

JACOB GLASER DONKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, CCC-SLP

Contact information

Practice address
1419 FOREST DR STE 206, ANNAPOLIS, MD 21403-1473
(410) 280-9788
Mailing address
6121 OVERLEA RD, BETHESDA, MD 20816-2240
(301) 922-1799

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
01958L
MD
235Z00000X
Speech-Language Pathologist
Primary
09500
MD

Other

Enumeration date
10/05/2019
Last updated
10/28/2021
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