Individual
MRS. EVELYN MAY JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
11950 FISHERS CROSSING DR., FISHERS, IN 46038
(317) 555-5955
(317) 595-5554
Mailing address
4824 COLUMBUS AVE, ANDERSON, IN 46013-5130
(317) 385-2154
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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