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Individual

JACOB HADWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2727 29TH ST NW APT 411, WASHINGTON, DC 20008-5542
(202) 446-8228
Mailing address
2727 29TH ST NW APT 411, WASHINGTON, DC 20008-5542
(202) 446-8228

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
0810008804
VA
103T00000X
Psychologist
Primary
PSYA200001316
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30018211770001
VA
Enumeration date
08/13/2024
Last updated
03/24/2026
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