Individual
MR. BETH T. JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.I.S.W.
Contact information
Practice address
11565 PEARL RD, STRONGSVILLE, OH 44136-3356
(440) 846-0862
(440) 846-0890
Mailing address
70 GREY FOX RUN, BENTLEYVILLE, OH 44022-3392
(440) 247-5297
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.0005606
OH
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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