Individual
BILLIE JO JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 E 55TH ST, CLEVELAND, OH 44103-1304
(216) 391-6672
Mailing address
12962 CLIFTON BLVD APT 4, LAKEWOOD, OH 44107-1541
(216) 358-3544
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
0002326
OH
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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