Individual
FRANK D JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
155 CHESTNUT ST, NUTLEY, NJ 07110-2311
(973) 667-1884
Mailing address
24 BOULDER RUN RD, PATERSON, NJ 07501-3356
(973) 523-5491
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07121400
NJ
Other
Enumeration date
05/29/2024
Last updated
05/30/2024
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