ELLEN S JACOBS

PROVIDENCE, RI
NPI1467472019
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: RI  sp00536)
Enumeration Date2006-07-19
Last Update Date2007-07-08
Business Address
-- ELLEN S JACOBS
593 EDDY ST GEORGE CLINIC
PROVIDENCE, RI 02903-4923
Phone number: 401-444-3201
Mailing Address
-- ELLEN S JACOBS
593 EDDY ST GEORGE CLINIC
PROVIDENCE, RI 02903-4923
Phone number: 401-444-3201
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