Individual
JACOB SHELBY PRIDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4020 W GOELLER BLVD STE A, COLUMBUS, IN 47201-8272
(812) 408-8442
Mailing address
4020 W GOELLER BLVD STE A, COLUMBUS, IN 47201-8272
(812) 408-8442
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33012890A
IN
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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