Individual
DR. GARY W. JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
11161 KENWOOD RD, BLUE ASH, OH 45242-1817
(513) 769-4600
(513) 769-0304
Mailing address
11161 KENWOOD RD, BLUE ASH, OH 45242-1817
(513) 769-4600
(513) 769-0304
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1303251
OH
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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