Individual
JESSICA MULLIS JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 BLARNEY DR STE 102, COLUMBIA, SC 29223-6291
(803) 370-1598
Mailing address
115 BLARNEY DR STE 102, COLUMBIA, SC 29223-6291
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15232
GA
Other
Enumeration date
07/19/2022
Last updated
08/02/2022
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