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Individual

JACOB ROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4400 EASTON CMNS STE 125, COLUMBUS, OH 43219-6223
(614) 706-2464
Mailing address
PO BOX 613, DELAWARE, OH 43015-0613

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1600887
OH

Other

Enumeration date
06/21/2017
Last updated
11/16/2021
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