CASEY L JACOB
Speech Language Pathology at 51 Mnr, Hollywood, FL

License number
Florida 7637
Issued Date
Jul 7, 2016
Effective Date
Jul 7, 2016
Expiration Date
Apr 7, 2018
Category
Health Care
Type
Provisional Speech-Language Pathologist
Address
Address
15372 SW 51St Mnr, Hollywood, FL 33331
Phone
(954) 504-8256
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Casey Jacob, age 36
5220 SW 199Th Ave, Fort Lauderdale, FL 33332

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