Individual
KIARA JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2284 POINSETTIA CIR, BRUNSWICK, GA 31520-2750
(912) 222-2615
Mailing address
2284 POINSETTIA CIR, BRUNSWICK, GA 31520-2750
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/06/2022
Last updated
08/06/2022
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