Individual
MRS. ELLEN H JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW, DCSW
Contact information
Practice address
145 W 46TH ST, ASHTABULA, OH 44004-6916
(440) 998-7541
(440) 997-4282
Mailing address
145 W 46TH ST, ASHTABULA, OH 44004-6916
(440) 998-7541
(440) 997-4282
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I0000217
OH
Other
Enumeration date
01/20/2006
Last updated
12/20/2010
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