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Individual
MR. JACOB C GARCIA
Active
Individual
MR. JACOB C GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
007900
IA
104100000X
Social Worker
M-07715
NM
1041C0700X
Clinical Social Worker
Primary
SW-21683
FL
Other
Enumeration date
12/18/2012
Last updated
07/11/2023
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