Individual
JANETTA JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1399 HARMONY CAMP RD, GREELEYVILLE, SC 29056-9666
(803) 473-4656
(803) 473-4676
Mailing address
117 DOVE ST, KINGSTREE, SC 29556-3149
(843) 355-6336
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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