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Individual

BREIANA JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1675 W CAMPBELL RD APT 3311, GARLAND, TX 75044-2336
(469) 903-0902
Mailing address
PO BOX 498052, GARLAND, TX 75049-8052

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
67341
TX

Other

Enumeration date
02/02/2018
Last updated
09/13/2024
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