Individual
MR. JACOB HENRY EZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2400 WHITE AVE, NASHVILLE, TN 37204-2235
(615) 460-4200
Mailing address
2400 WHITE AVE, NASHVILLE, TN 37204-2235
(615) 460-4200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11771
TN
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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