Individual
AMY JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LISW
Contact information
Practice address
6185 HUNTLEY RD, SUITE L, COLUMBUS, OH 43229-1093
(614) 854-0944
(614) 854-0947
Mailing address
1242 NEIL AVE APT M, COLUMBUS, OH 43201-3191
(614) 854-0944
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
I0023944
OH
1041C0700X
Clinical Social Worker
Primary
I.0023944-SUPV
OH
Other
Enumeration date
03/31/2007
Last updated
10/10/2023
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