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Individual

MR. JACOB DYLAN BRATCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
5296 PETERS CREEK RD, ROANOKE, VA 24019-3808
(540) 359-2700
Mailing address
5296 PETERS CREEK RD, ROANOKE, VA 24019-3808
(540) 215-0535
(540) 206-2109

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904015097
VA

Other

Enumeration date
04/03/2023
Last updated
11/01/2023
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