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Individual

JULIA JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1338 COMMERCE AVE, LONGVIEW, WA 98632
(360) 795-5955
Mailing address
1338 COMMERCE AVE, LONGVIEW, WA 98632-3732
(360) 795-5955

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
01/08/2015
Last updated
05/31/2019
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