Individual
MS. JUDY MICHELLE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MLSW CCTP1
Contact information
Practice address
103 BULLARD, MANILA, AR 72442-8216
(870) 484-0572
Mailing address
103 BULLARD, MANILA, AR 72442-8216
(870) 484-0572
(870) 486-2826
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9822-M
AR
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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