Individual
BRENDA SNOW JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
147 SUMMERFIELD DR, MCDONOUGH, GA 30253-5308
(678) 600-6704
Mailing address
147 SUMMERFIELD DR, MCDONOUGH, GA 30253-5308
(678) 600-6704
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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