Individual
SEAN LAWRENCE JACOBS-GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
3358 S 2ND ST STE A-C, CABOT, AR 72023-7873
(501) 286-6053
Mailing address
2200 E MATTHEWS AVE, JONESBORO, AR 72401-4347
(866) 972-1268
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11607-M
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308646795
—
AR
Enumeration date
08/29/2023
Last updated
11/22/2024
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