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Individual

AMELIA JACOKES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
712 WEST ST, CHARLOTTESVILLE, VA 22903-4433
(404) 617-9584
Mailing address
712 WEST ST, CHARLOTTESVILLE, VA 22903-4433

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904013582
VA

Other

Enumeration date
02/02/2022
Last updated
02/02/2022
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