Mrs Lara Ilysse Jacobs, MS, CCC-SLP | |
23 Hoffman St, Maplewood, NJ 07040-1113 | |
(212) 851-6231 | |
Not Available |
Full Name | Mrs Lara Ilysse Jacobs |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 23 Hoffman St, Maplewood, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225587686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 41YS00600100 (New Jersey) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Lara Ilysse Jacobs, MS, CCC-SLP 23 Hoffman St, Maplewood, NJ 07040-1113 Ph: (212) 851-6231 | Mrs Lara Ilysse Jacobs, MS, CCC-SLP 23 Hoffman St, Maplewood, NJ 07040-1113 Ph: (212) 851-6231 |
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