AMANDA LYNN JACOB

SUNRISE, FL
NPI1912480526
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SA17265)
Enumeration Date2018-09-10
Last Update Date2020-08-11
Business Address
AMANDA LYNN JACOB CCC-SLP
14201 W SUNRISE BLVD STE 107
SUNRISE, FL 33323-3207
Phone number: 954-756-2818
Mailing Address
AMANDA LYNN JACOB CCC-SLP
14201 W SUNRISE BLVD STE 107
SUNRISE, FL 33323-3207
Phone number: 954-756-2818
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